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PERMrME NAME/ADDRESS (7m&&fail yKamWLoca,w VD06-1) <br />NAME <br />ADDRESS <br />BOX 4@J <br />'.IIA CO 81428 <br />FACILITY E NO. 2 MINE <br />LOCATION IA CO 81428 <br />LIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /rNPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DA YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR MH) <br />F - FINAL DB <br />CHRONIC WET TESTING FOR 406A <br />NOTE: Read {rntructlwr before 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 fit#i??( r iEii##if# REPUF-' <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 /> <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 />that Wit document end an a enh were TELEPHONE <br />AME/TITLE PRINCIPAL EXECUTIVE OFFICER t fe e r pone 57-M.- DATE <br />1 <br />pnpare arad finder my dlrarlMn or w,pie. er+ lsion In accerdence with with a a fyslem designed <br />N <br />to alum that quatlMd penonaef proptAy gather and evaluate the infnrnetion <br />submitted. lead on my Inquiry of the person or persons who manage the system. _ <br />or those person directly respoMbie for tethering the WcrrnuUon, the Infornetlon - <br />- - <br />subnritted K to the best or my knowl.dge and belief. Irv*. Haunt., and eompM.. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />1 <br />t th <br />i <br />in <br />I <br />f <br />th <br />ifi <br />t <br />f <br />b <br />ttl <br />r <br />h <br />tl <br /> gn <br />can <br />pena <br />em swan <br />a <br />en art s <br />a <br />or ea <br />ml <br />ng <br />a <br />. <br />n <br />orma <br />on. A <br />TYPED OR PRINTED Including the poeslbilty of file and ImpAsonmem for knowing Ooiatiom OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIULA I IONS (Reference a# ittacnments here/ <br />OT RE`?ULTS OF L FTHALITY DERIVS AS XF"FJ-ECT", !;Rn-t4TH ANd <br />SIGNI <br />EPA Form 3320.1 (Rev. 3)99) Previous editions may be used. Jb V TI?J$ IS a 4-Part, (arm, PAGE OF