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Form Approved. <br />PERMITTEE NAMEIADDRESS(lm"FmOtyNo.WLe stio (JD <br />CEIVED <br />i0`R` NATIONAL POLLUTANT DISCMARGE ELIMINATION SYSTEM f/NPOE$J <br />DISCHARGE MONITORING REPORT WMR OMB No. 2040.0004 <br />NAME - ) <br />ADDRESS <br />!` Cj.. <br />a <br />AUG 2 9 2008 PERMIT NUMBER DISCHMOE NUMBER F I INAL DE <br />T ' <br />. -''' `MI NE WTR TO DEER TRAIL DTCH <br />FACILITY MONITORING PERIOD <br /> Division of Reclamation, YEAR 0 DA YE 4R MO D Y <br />LocATbN (Vining and Safety FROM - To <br /> NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOVENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT MINIMUM MAX I MUM <br /> SAMPLE .r_ _- <br />:. MEASUREMENT , <br /> <br /> PERMIT #><### #fi3s I£# ?i .. #### } <br />70 <br /> REQUIREMENT ODA AVG DAILY MX MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT i , <br /> REQUIREMENT 30DA AV-2 DAILY MX ' ' MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT 30DA AVG DA 1 't PYX `ONTl i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT `? <br />y <br /> REQUIREMENT ?"•1 h'1t?I?( ! ::' <br /> SAMPLE <br /> MEASUREMENT <br /> <br />0 PERMIT t .... .. <br /> REQUIREMENT r'' ='?ILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT - -. ,- <br /> REQUIREMENT INST MAX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I eerily under Penalty o aw that IAN document and ail .11Khmrats wen TELEPHONE DATE <br /> prepared under my direrllon or wPer.Nan in accordance wltA • system designed <br /> to a m that quaarled personnel Playgirl) gather and e•atuate the Intormallon <br />mbmltted. Bawd cm my Inquiry of the person or persons who innate the system, <br /> or IAow penero dlnctl <br />, -,i <br />ondble for <br />ath <br />i <br />th <br />I <br />ti <br />f <br />I F. <br />i <br /> y <br />p <br />f <br />er <br />ng <br />e <br />n <br />orma <br />on, the <br />nfo lion t . <br />--• <br /> submitted Is. to the best of my tnowled to and bear(, Ime. accante. and complete. <br /> I am aware that then are significant penatttes for aubmftting taker, information, SIGNATURE OF PRINCNAL EXECUTIVE - <br /> <br />TYPED Oft PRINTED <br />Inciuding the po/dblBly of Arse and Imprisonment for knowing elolatlotn. <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS ANO tArL-Aren I tun yr n... . rv?ra .tuna rnwrwrwnc• an ?rrarcnm?nta nwri/ <br />'F 4HR PRFCIP EVENT IS CLAIMED TF CLAIM APPROVE! RY WGCD, <br />'" N T'., <br />AS nG 7 <br />PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. ILS TS' a3 4-P81 f E6RT1.