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PERIMITTEE NAME/ADDRESS(lweir4i.ribryNawr?Lee.rtow(/D(Oieww) <br />NAME <br />ADDRESS <br />BOX 167 <br />_AIG CO 8162E <br />FACILITY TRAPPER MINE <br />LOCATM , I G CO 8162 <br />•YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM /IIVPDESJ <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 1`10F O <br />I OND #1S TO NO NAME GULCH <br />NOTE: Reed Instruction before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />,Ul <br /> MEASUREMENT <br /> PERMIT ###### REPORT #3F##3i u ## st ## NCE <br /> REQUIREMENT 11VST MAX MON ."' . <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />1 cert,ty under pen. ly o law that thh docvmenl and all attachments were T <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER p"p.red.,Wer my dl-ll.. or mp-I cm In.ccordanc Ilh a system ddZned TELEPHONE <br />DATE <br />to more that au.aMd personnel properly galher and ee.luslc the Infonnatlon <br />mbmltled. awed m m I .l of the <br />1 n9 7 Knon or Persons who man.p the systrm, <br />;'.• <br />?' <br />or that persons dlrsrtly mp*nWW for gathering the Infonnrum the Inroemallon - <br />? r <br />., <br />mbrdued h, to the bet of my tmrwkdge and bear! <br />trae <br />eec ale <br />and com <br />kle ? <br />! <br />I <br />. <br />. <br />. <br />p <br />. <br />1 •m •..n that there ¦rs drn.flnwt pmNtfer !nr mbmluln f f.M Infnrrrutlon <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br /> , <br />nc+ <br />fi <br />th <br />r n <br />d I <br />dbiII <br />l <br />r <br />t <br />TYPED OR PRINTED u <br />e po. <br />ty o <br />ne an <br />snnmenl <br />o, <br />n f <br />mpr <br />na.Inr lot. 0- OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OP ANY VIOLA I IONS (Reference so •ffechmenfs here) <br />ABLE SOLIDS LIM <br />_ 3 MONITORING - <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used <br />APPLIED FOR •C=10YR, 24HR PRECIP EVENT- <br />00076/