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PERMITTEE NAME)ADDRESS (7,wh kiarWryNo-AtLoeastan (/D(f w.r) NATIONAL POLLUTANT OISCHARO( ELIMINATION SYSTEM NPDES) <br />NAME DISCHARGE MONITORING REPORT (O R) <br />ADDRESS <br />J. BDX 5,-,`- PERMIT NUMBER DISCHARGE NUMBER <br />•IERSE? MONITORING PERIOD <br />FACILITY lDORN GRK? F, Ftv i i Ii`dt=S YEAR MO DAY YEAR MO DAY <br />LOCATION -IERSET CO 8 - FROM TO <br />+MES T. COOPER, EXEC V. P <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUDR MH) <br />F - FINAL. GUNIS <br />RUNOFF TO N FORK GUNNiSON R. <br />NOTE: Read Inetructione before complotlny this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FREQUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSts <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE -,: <br /> MEASUREMENT <br /> PERMIT ### REPORT <br />##t'.? <br />###### <br />#### <br />- <br />k. <br />_ iir,t <br /> REQUIREMENT i NST MAX MQ!'? r <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEfnTLE PRINCIPAL EXECUTIVE OFFICER t fe^"y ° P•"' ly o law that th is dorunwnl and ax attachm ents were TELEPHONE DATE <br /> prepared under my dlrecOon or rope . I Am In orcordanee with a system designed <br />_ to assure that qualified personnel Property gather and evaluate the Informatlon <br />- submllled. ewe on my Inquiry of the person or persorss who manage the system, <br /> or throe persons directly responsible for gathering the Information, the Inrormallon <br />:: <br />' submitted Is, to the best of my knowledge and better, true, accurate. and complete. <br />I am...- that them are s1rnl0rant <br />-41- roc ruh Wlflo <br />We +nrmmulon SIONATUAF OF PRINCtPAI FXECUT" <br /> p <br />r <br />. A <br />TYPED OR PRINTED u+,x, r inr poscnw . ,r n w.nd imr r mroi ro, t .,.i„r .i ;.u o ! OFF!CFR OR AUTHORIZED AGENT NUMBER <br />yc:ODE YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference &N attachments her*) <br />^i*"_r fir' _TCj? I r'T AFFI_IED FOR =tDYR, 24HR PRF("" <br />3- 4- 5, EPA Form 3320-1 (Rev. 3199) Previous edrtiom may be used. _ TtLtslS.a.4-p8rl_fORtl. PAGE Of