Laserfiche WebLink
PERMITTEE NAMEIADDRESS(7.."FmOy)V..?Lernta.(fD(Q4ewv) <br />NAME <br />ADDRESS <br />UL)X 187 <br />-yIG CO 816: <br />FACILITY ',PPER MINE <br />LOCATION I G CO 816: <br />-,YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM (/NPOES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved <br />OMB No 2040-0004 <br />MINOR <br />(SUBR JC) <br />F - FINAL MCI AT <br />ACUTE WET TESTING FOR 011A <br />NOTE: Read kwtrucdorw before completing We form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE . <br /> MEASUREMENT <br /> PERMIT :'ic#sfn lr## 100. 0001 i>#rc## 77 . PAB <br /> REQUIREMENT MN VALUE <br /> <br /> SAMPLE <br />/ , <br /> MEASUREMENT i <br /> PERMIT 101 i it#### it#tI#i`ir ? I ,LY <br /> REQUIREMENT Pli` VALUE <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 /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />I Ctrtlif Y ! pen. 1) 0(18- that thls dnro menl and sll .11Kh=ts were <br />NAMEPTfTLE PRINCIPAL EXECUTIVE OFflCER prepared under my dlrert$on or super+tlon in aesord.nee with .,.stem designed TELEPHONE <br />i` <br />DATE <br />/ to more that quaMfled personnel properly ra1Mr and e,alst, the Information <br />submitted. Bawd on my inquiry of the Person or persons who mana,e IM rysHrn <br />• - .. . <br />'r <br />/ or then persons dlreclly -potslble for lathering the Information <br />the Information G??? <br />, <br />mbmllted Ir. Io the bell of my k w-I to and be*rf <br />trine <br />scsvnte <br />and com <br />lete <br />, <br />, <br />. <br />p <br />. <br />e r 1 am swan that then are lgdntanl Penalties ror mbmttting False information <br />SIGNATURE OF PRINCIPAL EXECUTIVE - <br />l <br />TYPED PRINTED _ . <br />1naluding the pn+dbiun otfl?e and Imp /sonment for k nn.ing .fotautmm OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMEIER YEAR MO DAY <br />COMMENTS AND ExmArVA I Ivm yr nn r v,vL^ t tvna ferererence an errecnmenn nere/ <br />PFPORT LCSG - STATISTICAL PIONT FSTIMATF WHICH IP <br />i?llir:?l.i r <br />ftif flit. PAGE Of <br />C,a 4 <br />c_ . _. _ -) 0 <br />EPA Form 3320-1 (Rev 3M) Previous editions maty be used,