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KRMITTEE NAME/ADDRESSp+rrbFWOIYN..?L«olm(fD(pbwr) <br />NAME <br />ADDRESS <br />!. BOX 187 <br />IiIG CO <br />FACILITY ,iPPFR MINE <br />LOCATION I G C 0 <br />'-YMOND G. Dt) RnTS. PRFS <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPOESI <br />DISCHARGE MONITORING REPORT /DMR) <br />PERMIT NUMBER DISCHAAGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />81 F FROM TO <br />QM <br />Form Approved <br />OMB No. 2040-0004 <br />MINOR <br />(SUDR JC) <br />F - FINAL <br />I.JET TESTING FOR 020A <br />MOFAT <br />NOTE: Read Inetrucdone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ;#>fs _ Galati 100.0001 <br />Ir#sI-rr <br />?- <br />y <br />r;;•;.l <br /> REQUIREMENT MN VALUE <br /> SAMPLE ?% <br /> MEASUREMENT <br /> PERMIT rlts?4 100.0001 its ate; ,? -'RLY P •v: <br /> REQUIREMENT MN VALUE <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMErr TLE PRINCIPAL EXECtlTfYE OFFICER I ceruly a er pens l o ¦w that thb document and on attachments wen <br />prepared under m7 dlnclbn or wperelslmin accordance with • system designed TELEPHONE <br />DATE <br />to emu" that quaMlkd personnel property Lather and eeduste the Information ?- . <br />' ry? _. ! 1 / , sub rdlted. aswd on my Inquiry of IM parr or persom who manage the system, <br />h <br />: <br />or lhoae person dimetty mponslble for galhntng the Informalleat the Information <br />• <br />solmllled b6 tothe lest of my hnswkdge and belfef, tree. accurst!, and comnp4/e. .' , .:' %' <br />' ?. <br />w <br />r <br />ntf sal <br />SIONATURE OF PRINCIPAL EXECUTIVE <br />I <br />t <br />t th <br />a <br />ltl <br />bmitti <br />l <br />f <br />f <br />I <br />f <br />ti / .'? <br />TYPED OR PRINTED am a <br />are <br />ere <br />re <br />g <br />pena <br />ng <br />se <br />orma <br />ha <br />e <br />or su <br />a <br />n <br />on, <br />Inefuding the paadbluy or nme and tmprlfonmrnl for knowing Idatbte OFFICER OR AUTHORIZED AGENT <br />NUMBER <br />CAREA <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rderence aM attachments here! <br />{-P? T E_CSO - STATTSTICAL POT.NT E5'FMATF WHICH TS <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. PAGE IOF j