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PERMITTEE NAME/AODRESSpnaYl. i.eWry/vw??er.n,n?/p(Q6ee,v) <br />NAME <br />ADDRESS <br />LOX j/Q <br />-!-PER UT 8,1526 <br />FACILITY LAGER CANYON MINE <br />LOCATION " MIA CO <br />ABID B. MILLER, BUSINESS mGR <br />Form Approved <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTUA /IVPOESJ OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT IDMRJ ; I INOR <br />SUB!1 [;:.i . <br />PERMIT NUMBER Fls .AIGE NUMEEII } F I NAL uF;: FL D <br />I;'!E. WTR D5CHG TO MUNGER CR. <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Reed kwtrvcdorw beloro completkV this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. ENCY <br />FAEO <br />U SAMPLE <br /> >< O <br />E <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> <br />SAMPLE . I - I I I - <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT NST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 rertuy u r Pena ty o aw that this document and all attachments were <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />e <br />DATE <br />Prepar <br />d and" my dirertlon or supervhlon In accordance with a system designed <br />to assure fhal gwsMfkd personnel properly gather and evaluate the Inrorwratlon <br />'-- submitted <br />hard on m <br />In <br />uir <br />o(the <br />erson <br />a <br />c <br />wh <br />t <br />- <br />. <br />• <br />J' <br />? <br />y <br />q <br />y <br />p <br />.-i <br />. <br />or prr <br />o <br />a <br />o manage <br />he system, .! <br />i <br />•_ <br />.- <br />or those persons directly respondbk for gathering the lnformatloa, the information <br />submitted is, to the best of my kmowkdte and bel ef. true, a rate, and compMe. <br />1 am awarr that there are slgrifkant penaltks for submitting faire Informaden <br />SIONATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED , <br />Including the pamIblNty of Ilne and Imprisonment for knowing Holatlorm OFFICER OR AUTHORIZED AGENT A A NUMBER <br />CODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference sN sttechments here) <br />p ' AVERAGE 1S HIGHEST MONrhLY AVG. DURING PERIOD REPOR <br />'-•REASE - SEE I. B. 1. C. <br />EPA Form 3320-1 (Rev. 3/991 Previous editions may be used. 7 "' " Th'g 13 8 4-Dare fonn_ PAGE OF