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<br />NA-AE <br /> <br />ADDRESS ANC. O CANYON MINE' <br />WEST MAIN N STREET <br />'.NIDAD CQ <br />FAC1urY _NC I TO CANYON MINE <br />LOCATION _ TON CO <br />rtcnt n r _runmoC1'110 Ar_1=kr <br />- <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />F - FINAL <br />TO U N 11 W . ' - 1 m I B TC <br />Form Approved. <br />OMB No. 2040-0004 <br />LAMA <br />RGATOIRE RV <br />NOTE: Read Instructions before 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 s t > <br /> MEASUREMENT <br /> PERMIT 9. G In ? <br />-j q,_ 5 ALU• REQUIREMENT N'I MAX II•ium <br /> <br />_j I <br />-r- 1 - SAMPLE r <br />C,'•? _.i? .? _D MEASUREMENT <br />)05 10 1 O PERMIT a Itst#:f4 r A-4 ?Yt k,t? i Jt; W TCi_ <br />rF'FLUFt, T c R7 VALI_% REQUIREMENT rya <br />".. i:' :1 ?: : • [?'_. I: SAMPLE ,, t - <br /> MEASUREMENT j <br /> PERMIT t:f### #;*.rtif.s rt,}-t #st{st?fx WIC:F! _i -•., <br />= FFLULNT GROSS YALU- REQUIREMENT <br />E..LEN I UN, SAMPLE r <br />POTENTIALLY L'7 MEASUREMENT <br />r 1 3e 3 i G PERMIT ## _ R C F' iJr. - <br />FLIJENT GRCc. REQUIREMENT -VG L1Fijl_'7' N' <br />;.l ?_•-; t SAMPLE r i a ?-:r ,SsF <br /> MEASUREMENT <br />( PERMIT >f?t ?+#_N 10 .r7hJT T19 43 RAP <br />Ll'' N I riKL)F,S tiALUF REQUIREMENT ?t It.+ <br />br, Ti,l r'F)Ni7:JI r OR SAMPLE <br />THRU TREATMENT PLAN MEASUREMENT <br />G5C} ] ( ) PERMIT REPORT 71'JT IN <br />F FLUENT t, VAL Uc REQUIREMENT DAILY <br /> SAMPLE 941 '1lriz "-. t . <br />V I'= k.Ni MEASUREMENT <br /> PERMIT y.7 REPORT ES=?. It,r#>??i# ?-, t #tt,f,? r fi t i?!;.'.inc.' ISUA <br /> REQUIREMENT I I fS T MA)( <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I ccrnfy under pcn,dn „f In%L that this document and all wtachmems were TELEPHONE DATE <br />L h prepared under my direction or su{rn•iaon in accordance with a system dcsicmed <br />it, aceure that y.udified personnel properly gather and evaluate the information <br /> <br />W <br /> %ubmrti -d. [taxied on my inquiryof the person or persons who manage the system, ? <br />, <br />. <br />?- or those pemons directh rrspontble for gathering the mfomtanon, the inferntation <br />owl <br />h <br />t <br />I <br />a <br />th <br />h <br />t of <br />e <br />nd b <br />li <br />f <br />w <br />a <br />ur <br />t <br />nd c <br />m <br />lete <br />t <br />k <br />d , <br />-' mu <br />i. <br />. <br />e <br />e. <br />my <br />, <br />e. <br />cc <br />a <br />e. a <br />o <br />p <br />su <br />? <br />o <br />n <br />e <br />g <br />a <br />e <br />e <br />. <br />f <br />lt <br />b <br />nu <br />I <br />L <br />b <br />f <br />ak <br />f <br />TIVE <br />SIGNATURE OF PRINCIPAL ECU <br /> <br />TYPED OR PRINTED cunpena <br />e m <br />omtahun <br />n:. •.,rc <br />a! : <br />eer <br />an s Ru <br />ies <br />or sti <br />m <br />ng <br />tic .9u e t:c ?,.. ,h,ln? , f fine and imprr onment f,r knowing violations. OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all arfacrIments here) <br />?RFC IP FVF_nIT 'SUBJECT TO BURDEN OF P?rlnr PEG!-1 7 'r '7 '4 TF3 IPJ <br />JC)N WITHIN 4'i <br />EPA Form 3320-1 Rev. 3199) Previous editions may be used. 8 inn PAGE OF <br />w J