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KAWME NAMUADDRESS t7nrM&FrWy Na.a!Lersr,aw t(D(OWwv) <br />NA ME <br />ADDRESS r <br />?5, iRX :y7C: <br />r' ER UT 8452E <br />FACILITY !GER CANYON IlIn•iE <br />LOCATION A CO <br />,3ID B. MILLER, BUSINESS MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESI <br />DISCHARGE MONITORING REPORT (D R) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR M DAY I YEAR MO DAY <br />FROM TO <br />Form Approved <br />OME No 2040-0004 <br />L =1VLiK UW y <br />F - FINAL GR <br />MINE WTR DSCHG TO MUNGER CR. <br />NOTE: Read kntructior» bsfors completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX FREOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT Ax Intl'' <br /> <br /> SAMPLE <br /> MEASUREMENT <br />1 PERMIT ... . <br /> REQUIREMENT X <br /> SAMPLE <br />(AS MEASUREMENT <br /> PERMIT " <br /> REQUIREMENT ;i 11X <br /> SAMPLE <br /> MEASUREMENT <br />'13582 I O <br />PERMIT .... . <br /> REQUIREMENT CftlST <br /> SAMPLE <br />P1 MEASUREMENT <br /> PERMIT ,.. <br />;_r?... '.,3S .•i.: REQUIREMENT ?ODI`, F, . ,LILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />L .: REQUIREMENT - "lST MAX <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' nrtrly " er pen' ry o law that thh document and all atlarhmeots were TELEPHONE DATE <br />prepared under my direction or mpernMon In accord- with a system designed <br />to more that qualified personnel property gather and e-Note tM Information _ <br />Dowd on m <br />In <br />uir <br />of the <br />anora or <br />ersons; who mana <br />e the s <br />stem <br />ub <br />itt <br />d <br />y <br />y <br />P <br />P <br />g <br />s <br />m <br />e <br />. <br />q <br />y <br />, <br />or, those persons directly mporelble roc gathering the Information. the Inforwlalhrn <br />b <br />kn <br />f <br />t <br />t <br />t <br />f <br />l <br />d <br />d <br />b <br />t <br />d <br />l <br />ow <br />ge an <br />submitted K to <br />he <br />es <br />o <br />my <br />e <br />bw <br />e <br />, <br />om, accura <br />e. an <br />c je <br />wle. <br />IONATURE OF PRINCWAL EXECUTIVE <br />- <br />' `- • <br />? <br />- T <br />l <br />f.?- i am swan that then are dgnincant Penalties for aubml,ting nice Inrornutlon, <br />-/TYPED OR PRINTED Inchrding the Possibility of line and Imprisonment roc knowing rblodom OFFICER OR AUTHORIZED AGENT COOE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Oh Ar4T VIULA I IVr4b VrNSrsnco M srrscnmsnrs nwrtq <br />..-Y AVERAGE IS HIGHEST MONTHLY AVG. DURING PERIOD REPORTED. <br />- r? <br />ASS :-T 'F- T <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used ?' ?T11S t5 a d-part form PAGE OF <br />- -- ?,? ---------- <br />-- -