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<br />PERMITTEE NAME/ADDRESS (I.&,if.eWgN-?L«Wi.n IJDi Wf W) <br />NAME <br />ADDRESS <br />BOX 95 <br />a co a <br />FACILITY :-.ANE CANYON MINE <br />LOCATION '-: A co EI <br />• YCi7 IJWTTI 1=T1f?t`. MTIV'F Mr-P <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDESI <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 />(SUER DW) <br />F - FINAL GRFLD <br />UNDERGROUND 1"1Ih•IE TO E SALT CR. <br />NOTE: Rsad Imtrucdons before eomplel" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT k'f i#? y.:?t.ltsf#sf _ t# x ;t tt r <br /> REQUIREMENT M I (? I f?4(:f t MAXIMUM <br /> SAMPLE ` <br /> MEASUREMENT <br /> PERMIT '£ :r r i N# :ra ##### _ 70 <br />Ile: ?./ <br /> REQUIREMENT :301) 16, MCth•IT; <br /> SAMPLE <br />A MEASUREMENT <br /> <br />1 L PERMIT <br />7000 <br />'. <br />. SRO REQUIREMENT 30DA A?'G DAILY MX f fdT <br />L fj` SAMPLE <br /> MEASUREMENT <br /> PERMIT ## sF## ###### # # si ##? ###iEat i (? I_i _. <br /> REQUIREMENT INST NIA F. 1r-'dT <br />I. SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT RE OR I <br /> REQUIREMENT 2ODA fAV,-, iiAILY MX <br /> SAMPLE <br /> <br /> MEASUREMENT <br /> PERMIT c? EPORT <br />< .. " t <br />_ REQUIREMENT !. NST MAX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />ME/TiTLE PRINCIPAL EXECUTIVE OFFICER ' n""` under penalty ° law that Ihb document and all .Itachments were TELEPHONE DATE <br />prepared under my direction or uperswon in .-cord.- with • syslern defi=ned <br />NA <br />_ to amure that quatined personnel pnoptriy gather and evaluate the Inr°emallon <br />• t%/v n.- submitted. 6atd on my Inquiry *(the person or penom who manage the system. <br />or Ihofe penaro directly resporntble for gathering the Inforwullon. the Informathm • v <br />L y? <br />' <br />• - <br />submilled le, to the best of my knowledge and barf, true, accarate, and complete. <br />?-. <br />(J <br />EXECUTIVE <br />N <br />V <br />/-- `-I t .m were that mer, am significant penalties for submitting False Information, SIGNATURE OF PRI <br />CWAL A <br />TYPED OR PRINTED Inck.ding the poariblllty of line and Imprisonment for knowing elotsUoen" OFFICER OR AVTH0RIZE0 AGENT COOS NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIULA I IONS IRersrencs M erracnmsnrs nersr <br />?IOD REPORTED. OIL & GREASE - SEE I. B. I. C. TDS MONITORI <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used. 00,31 TWs is 3 4-part form PAGE OF