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PERMMME NAME/ADDRESS(IneV4Foro#yN..*/Lee4nawVDtO6,m4p <br />NAME <br />ADDRESS <br />35, uG?: :'-7U <br />=1_PER UT 84526 <br />FACILITY LAGER CANYON MINE <br />LOCATION MA CO <br />ABID B.. PULLER, BUSINESS MGR <br />NATIONAL POLLUTANT OISCHA IGE ELIMINATION SYSTEM /INPDESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER FW111AIGE NLWBER <br />MONITORING PERIOD <br />FROM YEAR D TO YE fl O D <br />Form Approved. <br />R OMB No. 2040-0004 <br />'4 G <br />(SUBR DW) <br />F ~ FINAL G K f <br />CHRONIC WET TESTING FOR 002A <br />NOTE: Read Instrvcdone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> EX ANALVSts TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - <br /> REQUIREMENT $ I NG8A' r <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 Kr1AY under pen. r o law the' thh dotumenl and .II attachment, were <br />TELEPHONE <br />DATE <br />prepared finder m7 dlreetlon or wprrH,ton in accord.nce with . ,r,tem designed <br />to amore that qualified personnel property Sather and evaluate the information ? <br />' <br />'? <br />- - <br />lubmltled. Bred on m7 Inquiry of the • <br />?;.? <br />; <br />Perron or, groom who manage the system, -,: <br />or thane persons dlrecty mpondble ror gathering the Information, the Informatlon L - "?.-- " ? <br />• , <br />tobmined Is. to the best of my knowledge and belief, 1r . accurst,. and complete. .? .. ? <br />! t - ? . '. <br />- I am •+.n that there are slSNfinm Pendge for submitting hire tnformatlen <br />SIGNATURE OF PRINCIPAL EXECUTIVE - -? <br /> <br />TYPED OR PRINTED , <br />1wiuding the poselbfily of fine and Imp am ment for knowing viot.tlota <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reforonce d/ srrachmenrs hard <br />PFBUL T5 nF LETHALITY DER I.VATIONS AS -4 FFF EC? ,,, GROWTH A! <br />r EPt1?( r?IN <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. This is-a 4-part form. PAGE OF