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/ERMfTTEE NAMEIADDRESSp-ch-&FnrWryNw?L ofi-(/D(0ieru) <br />NAME <br />ADDRESS <br />BOX 167 <br />.TG CO 8162, <br />FACILITY P P ER MINE <br />LOCATION ; G CO 81625 <br />•ennr.in net nr-ITC sore irlm <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 />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(1UBR JC) <br />F - FINAL MGFAI <br />ACUTE WET TESTING FOR ')1.7 A <br />.fG <br />NOTE: Read Instructions boforo eomplotin9 this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREOUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> r <br /> PERMIT ###?i## #it# ## 100. OOC. ; ###-- -_### 7- R.'1 <br /> REQUIREMENT Ay U <br /> SAMPLE ; <br /> MEASUREMENT <br /> <br /> PERMIT #*### #####?c O. 0of-) i ###'?# 3 '? a# it if :;Cr <br /> REQUIREMENT M _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />I <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT t <br /> PERMIT <br />REQUIREMENT <br />, 17 <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 EXECUTIVE OFFICER t « ' y under pen' ty ° law that lhh documenl and all attachments were TELEPHONE <br />prepared under my direction or supervision In accordance with a system designed DATE <br />- to ntum that qualified personnel propeAy gather and evaluate the Information <br />P submitted. Sawed on my Inquiry of firs person or persona who manage the system, <br />?` <br />- <br />/ <br />or chow persons directly responsible for gathering the Infwmatton• the fnformatl°n /•. , ri;i, <br />-- <br />?` <br />- j <br />- <br />submitted K to the best of my knawiedge end belief. tr.e• sccunce• and complete. <br />T <br />RE OF P"INCWAL EXECUTIVE <br />. <br />I <br />- <br />ar <br />? <br />' <br />t <br />? <br />T I am a.am Chet there am significant peneRks for submiltlng fate Inrotmation. S <br />GNA <br />U AREA <br />TYPED DA PRINTED _ Imiuding the poeelblilly of fine and Imprisonment for knowing vlolatlorsl, OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA IIVN5 (Reforonce Nr srrocnmonrs norsr <br />r?FPf1RT LC 50 - STATISTICAL POINT ESTIMATE WHICH IS <br />j-ht>iJ9.a4-`13lI form. PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. '