Laserfiche WebLink
PERP61i fEE PWIE AD.,R-SS - <br />NAME <br />ADDRESS <br />WEST FIRST STREET <br />!NIDAD CO <br />FACILITY ELK MINE <br />LOCATION T ON CO <br />4'r1v>` (iitjF'RD r <br />For <br />DISCHARGE MONITORING REPORT (DMR) OMB - <br />PERMIT NUMBER DISCHARGE NUMBER T NAL LAMAS <br />MONITORING PERIOD - R 009A <br />YEAR MO DAY YEAR MO DAY <br />FROM TO X <br />N(1TF• Raab Incfrllrtinnc hafnra rmmnlatinn fhlC }Arm. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />r C T ' '' SAMPLE <br />-A PH.!,.. = MEASUREMENT <br /> PERMIT 'DO. n f. i. , ' -tI <br />=F FL'.%? i r -`-?S VAL,J, REQUIREMENT ^l?. <br />C csL; J[ r 7 i:, _ SAMPLE <br />P I MFF MEASUREMENT <br />AfJ PERMIT c#> # #r? _ 100. GCCii 3? si I fi### ?,-,. <br />= FFLuFIV-F is ASS V ,Ll.:' REQUIREMENT [1[v VALI! <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 />NAME/TITLE PRINCIPAL E7(ECU1IVE OFFICER I certify under penalty of law that this do:ument and all attachments were TELEPHONE DATE <br />/// prepamd under my direction or supers Isn+n in accordance with a system drstgned <br />f <br />l <br />h <br />h <br />l <br />d <br />l <br />d <br />l <br />h <br />i <br /> to t sure t <br />at qua <br />ie <br />proper <br />er an <br />i <br />Ixrumne <br />y Bat <br />cs a <br />uate t <br />e <br />nformation <br />b <br />B <br />d <br />f <br /> mitted. <br />u <br />ase <br />on my inquiry o <br />the person or perms who mantic the system, /A <br />r <br />- rx those persons directly r tip)nsthle for rathcnng the information, the information <br />? <br />C <br />suhnimcd is, to the hca of my knrnviedge and belief, tnu. accurate, and complete. <br />I <br />th <br />i <br />t <br />ln <br />• <br />t th <br />if <br />f <br />b <br />f <br />l <br />f <br />SIGNATURE OF PRINCIPAL E CUTIVE _ <br />?- `? <br /> <br />V <br />?i <br />TYPED OR PRINTED :In <br />gn <br />rcan <br />marc <br />a <br />ere are s <br />qiena <br />es <br />or su <br />mitting <br />a <br />se in <br />ormation. <br />mciudmg the pos. ihllity of fine and unpris,mment for knowing swlatlons OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER YEAR MO DAY <br /> . CODE <br />1-WrI !"Iff GIN 1J NI1U CAr-Ll1I1M 11U11 Ur M111 VIULMI IUIIJ tn7C/CICIR tr 1011 agIdGIMM1113 TMI'L-f <br />'CART L CS0 - FSTA,TTSTICAL POINT ESTIMATE WHTCH 1F <br />i R M TO 1.1% <br />EPA Form 3320-1 (Rev. 3/99) Previous editiorss may be used. 000r?6/0,_Thil3ij;,-@4-part form PAGE OF