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PERMITTEE NAME/ADDRESS(1w066)r&lktyMerWL stir (1D(&-t) <br />NAME <br />ADDRESS <br />?. L30X £? <br />LUMA CU E <br />FACILITY h-?'--LANE CANYON MINE <br />LOCATION 1A C-0 E <br />• ALTER WH I TLEDGE, MINE MGF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOE$I <br />DISCHARGE MONITORING REPORT IDMR/ <br />PERMIT NUMBER DISCHARGE NUMSER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MID DAY. <br />- FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(sUBR DW) <br />>= - FINAL <br />CHRONIC WET TESTING F <br />NOTE: Read Irntructione b*fore completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. F#EOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #x#isu #s # REPORT <br />it#*e: <br />#tF#it## <br />'itjt ; <br />- <br />jf1l REQUIREMENT MN VALUE r <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT I <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I -Illy under pens ly ° law that th <br />re <br />ared under my direction er su is dlwt;m*nl and on silwhm <br />ereblon In accordsnm with ena were <br />• system desi <br />ned TELEPHONE DATE <br />y p <br />p <br />p <br />g <br />to saw" that qualified personnel properly gather and evaluate the Infi -notlon <br /> submitted. Bred m my Inquiry o (the person m perear who mange the sntem. zU <br /> or [how prmum directly responsible for gathering the Information, the Information <br />. Co submltled to, to the best or my knowledge and beW. true. a rab. and complete. <br />1111601ATURE OF PRINCWAL EXECUTIVE <br />L? 1 am aware that there are slgnifkanl pmaftles for submitting hbe Informadon, A <br />TYPED OR PRINTED Including the possibility of fine and Imprtwnment for knowing vldatlo? OFRCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference iB attachments hortrl <br />I.O(!?-ST FFFLIJEf.iT AT WF!ICN STr.TjSTjCAL_I_`/ SIGNTF DIFF <br />EPA Form 3320-1 (Rev. 3199) Previous edittcns may be used J T!4. l$;3 4-pact fQ-rM. PAGE OF