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PERMITTEE NAME)ADURES S(7--6&FwoiyMa.?Lo wil J/D{Ows.r) <br />NAME <br />ADDRESS <br />a. BOX i8*/ <br />"'SIG CO 81626 <br />FACILITY ° P ER MI 1 N <br />LOCATION i G C Q 8162 <br />%. /Mn*tn f+ nil T]IITCZ 097CC /PIM <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTUA /NPOESI <br />DISCHARGE MONITORING REPORT (DAR) <br />PERMIT NUMBER OiSCNMGE NUM6EI1 <br />MONITORING PERIOD <br />O DAY YEAR MO DAY <br />YEAR <br />FROM TO <br />Forrn Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUER JC) <br />F - FINAL MOFAT <br />DISCHARGE TO COYOTE GULCH <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> je,NlALYsig <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> Y <br /> PERMIT <br />ktl REQUIREMENT MIIgImijN _ MAXIMUM! <br />_ SAMPLE <br /> MEASUREMENT <br /> >r <br />'O 1 0 PERMIT i <br />DENT GRID',-, REQUIREMENT -,AlV .. A`?Eq DAILY MX <br />-- ?+ 1 -7 SAMPLE <br /> MEASUREMENT j' <br />- <br />-',45 1 0 PERMIT b 1 <br />, . . -:: -? 17 <br />°_UENT GRW " REQUIREMENT C' 30DA AVG AILY Mx MONTH <br /> SAMPLE <br />( A Fr ) MEASUREMENT I' <br />.45 1 G PERMIT x ....r r._ o <br />_.U?NT i?RG REQUIREMENT - 30DA 'V6 DAILY MX - 1iCtlT <br />a y r SAMPLE <br /> MEASUREMENT <br />rt G PERMIT ; <br />i•:T GR,._ -; =? ::- REQUIREMENT -NST MAX 1T <br />= - SAMPLE <br />RE-ATMENT PLAN MEASUREMENT <br />.O 1 O O PERMIT <br />UENT GROSS VAL_'J' AEQUIREMENT SODA AV G DAILY MX <br />.., SAMPLE <br />_0L VECj MEASUREMENT <br /> <br />-: <br />PERMIT -.... : . <br />- .: <br />REQUIREMENT :SODA AVG DAILY MX <br /> <br />deigned TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER prepared t rrtd ° under my di reo lctlon aw m or sup thit In at pe dervlsfon ilo" In l and an eceordanre with llh a • system at teween were <br />? <br />DATE <br />,. to aasare that qualified peronneN properly father and evalusle the Information . <br />; <br />/(. submitted. Based on my inquiry of the person or persons who manage the sratem• <br />or those persons dlncllr responsibN roe fathering the Inlornmoon, the Information +C:? _ <br />i <br />! <br />/ <br />? <br />i _ <br />• ?. <br />l <br />t <br />k <br />d <br />d <br />i <br />i <br />'i -? / <br />e. sa <br />now <br />el <br />te an <br />belef. irw. accura <br />eoatp <br />etn <br />submitted I% to the best -(my <br />E <br />ECUTIVE <br /> 1 \m aware that then are sltrtificawt penaillas for asbmlldng rob. Infornrllon. SIGNATURE OF PRINCIPAL <br />X A A <br />NVMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED Including the podNlry of nae and lmprbonesent for knowing .Ioiatloet>. OFFICER OR AUTHORIZED AGENT CODE <br />COMMENTS AND EXPLANATION Of- ArvT VIULAIIVna l/fI/Klesca' «,.r..e,.,,,.,,ro •--ABLE SOLIDS LIMIT APPLIED FOR {=1OYR, 24HR PREC IP <br />r <br />_ --DS MON I TOR r <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. 001