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PERMITTEE NAMEIADDRESS (Include Fuedih• Numr.'L«•urran ijDyfra-HO NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS <br />BOX PERMIT NUMBER DISCHARGE NUMBER <br />•?ENCE j MONITORING PERIOD <br />FACILITY , MINE YEAR MO DAY YEAR MO DAY <br />LOCATION n-EN CC OC,?: , . FROM TO <br />PLkT'I`r-QRIZAI. C-%Pkl Mi. <br /> <br />INOR <br />5I.IBR JC i <br />- FINAL <br />ZIND D/TRLB TO CANADIAN <br />X <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />N SAMPLE <br /> MEASUREMENT <br />C> ;) PERMIT 9. O WIGS/ 2?ft[3 <br />} c r r (?: REQUIREMENT MA Xi f ji JM U I`1ON %' <br /> SAMPLE I I ( ?`_+ <br /> MEASUREMENT <br />-,(11'' 1 PERMIT gE?rRT + O. S ;RH <br />r. N` GROSS Ur REQUIREMENT 30DA Ave- i-' ? ... <br /> SAMPLE t?-s- Vtr* r i <br /> MEASUREMENT <br />' "• .?:-. _ PERMIT #Yr1} 3E #t ', 't D### ]C ; r; F?B <br />-T"FLUENT i' ] .S VFa! REQUIREMENT <br />i_O J, 1j,,3 C&P.iit J j T SAMPLE r' <br />HRU TREATMENT PLAN' MEASUREMENT <br />0 PERMIT REPORT fZ:. 'i i(7'j it i #' # 3Ytix#? aie ti ifti #i: - <br />_ 'i- DENT %RC753 VALi);' REQUIREMENT <br />A i-Vf= <br />D <br /> <br />S }_ i? SAMPLE r # a ) <br />:, : I SUAL MEASUREMENT <br /> PERMIT iei•?F Y_ i-i-: * tF4^t:i}-'v at: r4 i tcg6.?rrr' _. i•1.Fftl <br /> <br />- r REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I cend} under penalty of law that this documcni and all atcachmenis were TELEPHONE DATE <br /> prepared under m> dirccoon or super,nton in accordance with a s%.sum designed - <br />Richard A. Munson to assure that qualified per,onnel properh gather and csaluate the information <br />erson or <br />mons who m:cnage the svstc•m <br />,uhm:tted Raced on m <br />inytun of the <br /> <br />t <br />7 <br />ice I-Te <br />dent p <br />p <br />. <br />y <br />or those Persons diced} rc,ruoasrblc for eathering the information. the mdlrmatiem <br />r <br />. <br />- <br /> <br />to the Fist of m% knowledge and txi+et: tr:c <br />accurate <br />and complcta <br />ubtnitted is 10 <br />L <br />0C <br /> . <br />, <br />_ <br />e <br />, <br />r r :+ nn <br />lt <br />f <br />l <br />e mf <br />r <br />nn <br />h <br />t th <br />i <br />fi <br />t <br />I SIGNATURE OF PRINCIPAL EXECUTIVE <br /> c,ne pena <br />ies <br />, <br />nr <br />a <br />s <br />u <br />ma <br />n. <br />am aware c <br />a <br />ere are s <br />gnt <br />l OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br />TYPED OR PRINTED :rnons <br />inciudtne the rx»s:brlity nl fmr and +:npnsnnnr::r :. r :. •. mg rro CODE <br />GUMMt:N1b ANU LAF'LANAI ION Ur ANT viuLAIIuNJ (Mererence an anacoments nere) <br />=CIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS IN <br />TO THE DIVISION WITHIN 48 HOURS. <br />5N <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 003,41 Tr Ids t•S d 4-PWIJ? in.