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PERMITTEE NAMEJADDRESSnweide F. AryN/.WLeer,.wl/D4&,.w) <br />NAME <br />ADDRESS <br />1SC)Y. X35 <br />=RSET CO 81434 <br />FACILITY ."ORN CRK & ELK CRK MINES <br />LOCATION =RSET CO 61434 <br />•IES T. COOPER, EXEC V. P. <br />Form Approved. <br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM I/NPOESJ OMB No. 2040-00$4 <br />DISCHARGE MONITORING REPORT JDMRJ <br />?UBR <br />PERMIT NUMBER DISCHARGE NUMBER - - F I NAL U <br />-:UTE WET TESTING FOR 015A <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Reed kwtruetkxw before complethfp this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />E OF <br /> X ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />_ PERMIT lOO. OU•:.: ##it# t3F## i Ri <br />!: ( ??[ Jrj;_i REQUIREMENT t MN VAL.U` <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />nrtlfy . penalty o law thal this doevment and as attachment, were <br />NAMEJTITLE PRINCIPAL EXECUTIVE OFFICER <br />TELEPHONE <br />d <br />t <br />DATE <br />prepare <br />under my dlr tlo or super <br />alon In sceordanee with a sysm ddenee <br />to assure that quaNned <br />ersonnel <br />ether and <br />val <br />t <br />th <br />Inrnrm <br />tl <br />H <br />p <br />y t <br />e <br />ua <br />e <br />e <br />a <br />on <br />p <br />awbenlited. Based on try Inquiry *(the Person or persons who nonage the system, i - _ <br />or those penes directly responsibie for gathering the Informathm The Information <br />C --.'S^•( ? - itubmllied K to the best of my knowledge and bellef. Ime, accurate. and toenplete. - .-. - .? <br />I am aware Chao then an 511nlM1raM penalties for sllbmlldng false Inforrealon <br />J SIGNATURE OF PRINCNAL EXECUTIVE <br /> . <br />In <br />"" <br />i AREA <br />TYPED OR PRINTED c <br />neand lmprfwnm mrorknowing.iotauan <br />njthe possibility orl OFFICER OR AUTHORIZED AGENT ODE NUMBER <br />C YEAR MO DAY <br />L:VMMLN I J ANU CAr-LAreA I IvFS yr n11 e e rve_r? ?vrw Fnwrwroeew an, /II/4/I„I/IrIJ nw,w, <br />E. REPORT L <br />F TOXICITY T <br />STATISTICAL P] <br />SPORT FORM TO I <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. ] 5 5 E % ?- ? - js. a:4-pare form.