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PERMITTEE NAMEIADDRESS(Ine&&FaeOry Na.arLoearlon(fD(0www) <br />NAME <br />ADDRESS <br />LUX ?uS <br />=RSET CO $1434 <br />FACILITY DORN CRK gay ELK CRK MINES <br />LOCATION ERSET CO $1434 <br />'IES T. COOPER, EXEC V. P. <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM IrNPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM, I TO <br />Form Approved <br />OMB No, 2040-000A <br />MINOR <br />(SUOR MH) <br />F - FINAL <br />ACUTE WET TEST <br />NOTE: Reed k»truttlorn befofe completing this tam. <br />i N A'* <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 />r r SAMPLE <br />?:.. E MEASUREMENT <br /> PERMIT x _ t T F MT <br /> REQUIREMENT MN VALUE <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br /> <br />t certify under pens y o (law that Ihh dommeal and.t.luchments we <br />TELEPHONE <br />NAME/ME PRINCIPAL EXECUTNE OFFICER <br />DATE <br />prepared under my direction or superehlon In oatord.nte with • system designed <br />to amwn that qualified Personnel property gather and eralusle the Informnllon _ <br />/j? <br />_ <br />< < <br />. - submitted <br />Bawd on m <br />In <br />uir <br />of the <br />erson or <br />ersons who mana <br />e the s <br />stem <br />. <br />^ <br />• <br />. <br />. <br />y <br />q <br />y <br />p <br />P <br />g <br />, <br />y <br />ar those persons directly misormible for gathering the Inrovsrr.tlon, the Inrormalwis <br />submitted k, to the best -(-y knowledge and besef. Imc amtrale. and complete. <br />r( Y 1 I <br />i <br />t <br />?IONATURE OF PRINCI?AL E7CECllTIVE <br />a <br />th <br />ifi <br />l <br />l <br />t <br />TYPED OR PRINTED gn <br />can <br />peaa <br />am aware <br />u <br />en are s <br />t <br />es ror submi <br />ting rotor InrorrstoMm. <br />Including the possiNlly of now and Imprisonment for knowing slolaUorss. OFFICER OR AUTHORIZED AGENT A A NVMBER <br />CODE YEAR MO OAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Reference art' attechments here/ <br />E REPOP.T LC50 - STATISTICAL PINT WSTIMATE WHICH IS <br />+?' <br />.- 1 .-EST REP <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. , +,Tjhi.s-Is S 4-pan_form. PAGE OF