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- <br />NAME <br /> <br />ADDRESS t_u.-?tiVC I : J CANYON MINE <br />7F WEST t• 1AIN ITrEET <br />TNIDAG ?J <br />FACILITY ENCIT':' CANYON MINE <br />LOCATION TON CL <br />WAI Tl i Tt•4nmplgniv. !Lf_FtV" <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DMR) OMB No. 20404)004 <br />PERMIT NUMBER DISCHARGE NUMBER F Z NAL LAMAS <br />MONITORING PERIOD `' 4NYON <br />YEAR MO DAY YEAR MO DAY <br />FROM 171 TO ; <br />NOTE: Read Instructions beforC completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE r <br /> MEASUREMENT <br /> PERMIT ` .i W I ?. i / 'FC fi E=. <br />_ ;1 <br />- REQUIREMENT <br /> SAMPLE ?' . <br />- r MEASUREMENT <br /> PERMIT s= f: tr ! a .t s! r: f <br />^ 45 ; i C E r; A-. <br />N VA:._liC REQUIREMENT R G - <br />30DA A'-,)C7 . DA I L Y I lh <br /> SAMPLE # ` ( t i, <br />l <br /> MEASUREMENT <br /> <br />_ PERMIT # #lc?E # # t t, iI#n#tr f EPCIRT O. 5 <br />_UEN ? REQUIREMENT tr ;: 300.-A AV(- D; k -, ; V !`i.Y. <br />i i1i I U? !, SAMPLE ?.. ?: <br />i ENTIALL.Y DI5SGL V? MEASUREMENT <br />' 333 PERMIT ;!EP0RT REPCIR j <br />F'Llii i•IT f?55 VALU REQUIREMENT ' 0Elia A`1C? ii±?IL I`I <br /> SAMPLE ,. tr it <br /> MEASUREMENT <br /> PERMIT ?r.#rtf ?ti ^t= t irr?? i. etc#?ir3 Ip CitiIT.;N Tir:_ <br />'F-'`i . VALU? REQUIREMENT I NST I'1AX - <br />UNI J T OR. SAMPLE ? r T? at#iFit t; t! <br />TREATMENT PLAN. MEASUREMENT <br />U E':) 1 0 0 PERMIT REPORT R^.°CiRT #< ., i;i #### #?t##?# ?' tc 3NTT? < _ :i f <br />EFFLUENT GROSS V= i_'.! REQUIREMENT -,:)DA AVG A i <br /> SAMPLE 44} ,irrie :.. is ra <br />V I SLIA MEASUREMENT <br /> PERMIT # - fi Rt k it R: "IF,, T sf I_ ` =I t <br /> REQUIREMENT <br />NAMEJITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this documcm and all attachments were TELEPHONE DATE <br /> Prepared urnder my dnrccucro or +upervision in accordance with a system designed <br />to auure that qualified personnel properly gather and ecaluatc the information <br />, <br /> submitted Based tin my inquiry of the pers,nt or persons who manage the system. <br />or thou Persons directly resTxmstble for gathering the information. the informnion <br />1 to the best of m} knowWge and heficf <br />true <br />ac urate <br />and complete <br />submared.s <br /> , <br />. <br />. <br />, <br />I am aware that there are si <br />mf cant <br />enalties for submitrin <br />false information SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED . <br />g <br />p <br />g <br />including the e p os ibilitr of fine and impnurtment for or knowing cu,lations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />UUMMr1410 A1N1.1 r-AMLAr4miiur4 Ur A1YT v1ULh41lUr4a Inererence au duatunmenis nere/ <br />"'ECIF EVENT SUBJECT TO BURDEN OF PROOF REQUIRE <br />TO THE DIVISION WITHIN 48 HOURS. <br />PAGE OF <br />EPA Form 3320-1 (Rev. 3,99; Previous edirions may be used. This-is a 4-pRft toTltl.