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FERMITTEE NAMEJADDRESS pnekrdr Far1NryN?w?Loc?row N/DIQG.wq <br />NAME <br />ADDRESS <br />4813 <br />?=AUNIA CO 81428 <br />FACILITY T E NO. 2 MINE <br />LOCATION ; pd Y A r' O 81426 <br />1 1 T OM D REAR . IR M T NF MC,R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /rNPDESJ <br />DISCHARGE MONITORING REPORT (DMRJ <br />PERMIT NUMBER DISCHARGE NWSEA <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 MH) <br />F -- FINAL DELI <br />CHROf-JlC WET TESTING FOR 006A <br />NOTE: Read Inetructlone before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />T ?• i E T SAMPLE <br />-L"RT01ZAFi' MEASUREMENT <br /> PERMIT #it•### #,> : - REPO" I <br />a### <br />##titt## <br />r' <br /> REQUIREMENT Fs I NGSAVIF <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT is# ### #. ir# f# 100 III st## 't# 3t •# i . rRL Y <br /> REQUIREMENT MN 'Y;ALAJE "c:f•,i 1 <br />7) SAMPLE <br /> MEASUREMENT <br /> PERMIT itilitiE# ##### <br />;?I?POfiT <br />####ir <br />r: #sf - <br />TRLY <br />i <br />'0MP-1 <br />G;_L.0W REQUIREMENT 51NGSAMP <br />-'r, SAMPLE <br /> MEASUREMENT <br />^ <br />PERMIT ir:; ,;, iC)0 ####IP# ####3i# tTRI_ <br /> <br />i -? <br />Q"i <br /> REQUIREMENT MN VALUE <br /> SAMPLE <br />rife, MEASUREMENT <br /> PERMIT POpl'l <br />c ; _f_ •., REQUIREMENT I NGSAr1F' <br /> SAMPLE ` - <br /> MEASUREMENT <br /> PERMIT REPORT <br /> REQUIREMENT SINGSAMP i <br /> SAMPLE <br /> MEASUREMENT <br /> <br />r ,r <br />PERMIT # REPOR <br />- <br />REQUIREMENT S I NGSAMP <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' ""'ty "rid- p`""y ° "' that this document and an attacmmew were TELEPHONE DATE <br />Prepared under my dlrecllon or ruperelsion In . rdanee with . system dell`rand <br />to ae"re that quaMrkd personnel properly gather and evaluate the tnr°rwutlon <br />rbmltted- Bred or, my inquiry or the person or penoen who manage the system, <br />or thole Precincts directly respondbie for gathering the Informan°n, the Inforn ailon <br />submilted I& to the belt of my knowledge and better, lne, acrunte. and canpkle. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />th <br />t th <br />d <br />ltk <br />lln <br />I <br />itk <br />l <br />f <br />b <br />r <br />l <br />r <br />TYPED OR PRINTED gn <br />arr <br />prna <br />am aware <br />a <br />en an <br />s <br />or sa <br />m <br />ng <br />ake <br />n <br />er dcm. <br />Including the possibility of noe and Impetsonntenl for knowing vtolatiom OFFICER OR AUTHORIZED AGENT CAlEA ODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference oil attachmants hare/ <br />T F E °l.Il_TS OF I_F_THAL T TY DFF? T'J"; A- "! F F-? FCT", GR _ WT! i ANC? <br />TCALL <br />--. L: i" 44_ 1-.1 -i- Fi Y 4 P T <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. ' TfUS45 H 4 -Qaa ?Qrm PAGE OF