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PERMMME NAME/ADDRESS(7mh. rFw&#yNo.?L4wwf.n(/D(Q6rwo) <br />NAME <br />ADDRESS <br />I I A is D Ell 4 2 <br />FACILITY i E NO. 2 MINE <br />LOCATION :41 A CO 8142 <br />-LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER asCHARGE NUMBER <br />MONITORING PERIOD <br />FROM YEAR MO DAY TO YEAR O DAY <br />Form Approved. <br />OMB No. 2040-0004 <br />MI NOR <br /> <br />(S <br />>= <br />CH UBR MH) <br />- FINAL <br />RONIC WET TESTING FOR 006A <br />NOTE: Reed Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, fl1EOUENCY SAMPLE <br /> <br />EX Of <br />YP <br /> ANALYSIS T <br />E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br />- - PERMIT ####; ii##### ### # ##iI T! l; - <br />C;I,^;`11_:_iIi REQUIREMENT SINQSAIij- <br />_ <br /> SAMPLE <br />MEASUREMENT <br /> <br /> <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 />1 rertrty under pen¦ I) o law that this dorumrnt and all attachments were <br />NAMElT1TLE PRINCIPAL EXECUTIVE OFFICER TELEPHONE <br />DATE <br />Prepared under my direction or wperelfon In ascrordance with • system designed <br />to assure that quaNfled personnel Po"iy gather sred eraluale the Information <br />submitted. Based on my inquiry of the person or persons who rnanate the system, / <br />or those persons dlrtrtty resporelble for gathering the inforrnatlon. the information <br />submitted K to the best of my it owkdto and WK Irve. acrante. and rompirle. <br />I am aware that there are slgrdileunt penalties for nbmliting fair Information <br />SIGNATURE OF PRINCt?AL EXECUTIVE <br />- l <br /> <br />-TYPED OR PRINTED , <br />Inrluding the "lillity of nne and Imprisonmrnt for knowing viol.Umm <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANAI ION vl- AN T V IUILA I IVNS Pfalerence arf arracnments nerd <br />1`7 ('? f?FEi-JI_TcZ <br />OF LF'THALITY DER I`1 AS "%FFFF_f;T", Rr1?l'F? 'SNP <br />- s . ?.' .sr---•..'--?•--+? f •e a e-j ? i r?}? j i t i i ii-!!EPA Form 3320-1 (Rev 3199) Previous editions may be used TIU$,15, 3 4-part farm. PAGE OF