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PERM?TTEE NAME/ADDRESS (include F'acdity Ranell acation if Uifferenli <br />NAME <br />ADDRESS <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />RECEIVED <br />OCT 15 2008 PERMIT NUMBER DISCHARGE NUMBER <br />Division of Reclamation, MONITORING PERIOD <br />Mining and Safe YEAR MO DAY YEAR MO DAY <br />OM TO I -f <br />Form Approved. <br />OMB No. 2040.0004 <br />M I NL-?K <br />(S?JLR MH ) <br />M - I N-ER I M <br />SR x, 141T1,4 r- !)RNG TO CAL <br />NOTE: Read Instructions before completing this form. <br /> <br />NO FREQUENCY SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION . <br />EX OF <br />ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE ' <br /> <br /> MEASUREMENT <br /> PERMIT It= , ;t <br /> REQUIREMENT <br /> SAMPLE <br /> <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MENT <br /> MEASURE <br /> <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE % <br /> ENT <br />R (' <br /> MEASU <br />EM _ <br /> PERMIT - <br /> REQUIREMENT <br /> SAMPLE <br /> T <br />E <br /> MEASUREM <br />N r t <br />? < • <br /> ? .- . u ,:. ,. _ ., . .. , ? <br />. <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> NT <br /> MEASUREME <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> REMENT <br />= <br />MEASU <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of Iaw that this documem and all attachment--ere TELEPHONE <br />Prepared under ms direction or superriion in accordance with a system designed DATE <br />io a-re that qualified Iwnonnel properh gather and es uluale the information <br />submithd. Itascd on me inquire of the person or penom who manage the system. J <br />the information -- <br />th <br />rmation <br />h <br />i <br />i <br />f <br />- <br />n <br />o <br />. <br />er <br />ng <br />e <br />•- - - or th- persons dincth respmsihle for gat <br />to the hest of m> knowledge and ladief, true, accurme, and complete. SIGNATURE OF PRINCIPAL EXECUTIVE <br />omhmitted i <br />- <br />. <br />r . <br />formation <br />h <br />f <br />t <br />i <br />itti AREA <br />- - . <br />ng <br />a <br />e <br />n <br />m <br />I am aware that there arc significam pension for su OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY <br />TYPED OR PRINTED <br />including the p.c<ihilily of Finc and imprisonment for knowing •iodatian.. <br />COMMENTS ANU LAI-LANAIIUN yr Ml`Ir vw?nr......, <br />I EPA Form 3320-1 (Rev. 3199) Previous editions may t>e used. <br />_.....-..-- ----c <br />t I-i3R 1 OYR • 24 <br />r? - r, I-I TGHEST M7,, <br />PAGE OF <br />--- - - - - ?"hi? is a 4-cart or n( - - -