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PERMITTEE NAMEiADDRESS 4Milu.lr r.., ,.:n % :,.:,, ! -•. NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS RECEIVED <br />PERMIT NUMBER DISCHARGE NUMBER <br />FACILITY OCT 2 4 2008 MONITORING PERIOD <br />LOCATION DivislOll UI K"'arnation FROM YEAR MO DAY TO YEAR MO DAY <br />r. and Sate Y <br />Mining <br />Ferm Approved. <br />O g <br />3 ? (iMS No. 204o-0004 <br />F - 1= I t•,: <br />3EDI POND #i TU N FORK lilVi:.i?fv <br />YYv <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT '? *#### ' a ' 3t# # # dt### T) I KL f-151TU <br /> REQUIREMENT tr y h'I I N I MUM ".11 1 MUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .r 3t#il# # r#it # r,4- -?5 70 r+ <br />W= L REQUIREMENT Q1 3o DA AVG DAIL_'r' MX <br />I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT :.; i# ittf##'}•. RFPU°F J i f'J._ / RA <br /> REQUIREMENT !;DA A v'G DA I L Y Flt MON 'r H <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT k#### z # :+ t t 'k s?#'t it 3 5 L <br />JAL_i_;: REQUIREMENT 30DA ?X MONTH <br />- SAMPLE r <br /> MEASUREMENT <br />_tf55 PERMIT # F3tx psi#?t## 3. 5 P <br />_ <br />is L.iJF'fJ' :; `1."• REQUIREMENT 3 0 D A A`.';.; M <br />L <br /> SAMPLE -. -. <br /> MEASUREMENT <br /> PERMIT ?`##'i :t#•3>4?f. .. #i4### s!##"## 1C: <br /> REQUIREMENT (i'r t 7_I'i i <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT REPORT # # ;?¢ ^ 3 EEKL Fa <br /> REQUIREMENT !)DA AVO 1:; A T LY MX <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I cernA under penalty rd law that this document and All attachments were TELEPHONE DATE <br /> prepared under my direction or supen ision to OLcoriance with a system designed - <br /> to assure that qualified personnel properly gather and evaluate the information r _ <br /> submitted- Raid tin my mquin of the person or persons who manage the system. ?';' <br /> or those persons directly resp?,nsthle for gathering the in(onnanon. the tnfintmation x <br />f.?C e r •- - h . <br />••, <br />T submitted is. to the best of my knowledge and belief. true. accurate. and complete <br /> <br />i <br />w <br />th <br />r <br />i <br />lt <br />fal <br />e <br />d <br />I <br />r <br />f <br />i <br /> <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />1'] <br />. <br /> <br />TYPED OR PRINTED ut <br />ere a <br />ies <br />or Log <br />e a <br />c <br />g <br />d <br />fi <br />w pena <br />m cl a <br />arrth <br />is <br />ni <br />' <br />f tis <br />t f <br />6 <br />h <br />d OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> an <br />e p c <br />°nons ` <br />ine an <br />ng <br />c <br />mc <br />o <br />imprisonmen <br />or <br />m <br />o <br />m <br />: <br />ng CODE <br />L,UMMtN IZ) ANU tAI LANAI IVN Ur ANT VIULAI IUN.J (fiererenGe dll dHd(;nmen15 nere) <br />-HR PRECIP EVENT IS CLAIMED- EXEMPTIONS FROM <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 000o z-. Tbis tS•=a 4-part form.