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PERMITTEE NAME/ADDRESS(G.rMdrFerwyN..rtorr,°e (/D(dinenr) <br />NAME <br />ADDRESS <br />BOX 1d/ <br />IG CO 61 <br />FACILITY +'PER M;.NE <br />LOCATION I G co 81 <br />YMOND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT DISCHARGE EUMINATION SYSTEM (INPOESI <br />DISCHARGE MONITORING REPORT /DMRI <br />PERMIT NUMBER D4SCHAAGE 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 />(SUDR JC ) <br />F - FINAL MOFA <br />DSCHG TO E. MIDDLE FLUME GULCH <br />NOTE: Reed kwitructiorw before complet" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. <br /> <br />EX FRE 0F'NcY <br />of SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />r- <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT tr : : c: #ii 1 6. 5 #####iE 9.0 <br /> MINIMUM MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r,",t## tF## Ifs tf #it st # 3S ?G <br /> REQUIREMENT n <br />3 A ;,?•? <br />AIL' -4 <br />riL?r?TF <br /> SAMPLE <br />MEASUREMENT <br />?-- , <br /> <br />L PERMIT ###### ## ##at# OPTIONAL REPORT NCE/ GRAB <br />SRO. •_, REQUIREMENT 30DA AVG DAILY MX. ML MONT <br />r fh! SAMPLE <br />ASUR <br />NT <br />M <br />M ?- <br />q E <br />E <br />E ?. <br /> PERMIT 3000 6000 Ni.F/ I ii:=5 <br /> REQUIREMENT 30DA AVO DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br />0 PERMIT ;,.i:.:. 6 I+ <br />GRCI": _, REQUIREMENT INST MAX NT <br />OI`J; SAMPLE <br />MSr MEASUREMENT <br />? PERMIT R?_ RPDkT r#x <br />i i, t- V 1- i REQUIREMENT Y MX <br />D?; SAMPLE c <br /> MEASUREMENT ? , i;, <br />PERMIT ?t##### r #4. <br />REQUIREMENT SODA AVG DAILY MX <br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I fe`trly a r pe""' This documeni and a l auachmernts were TELEPHONE <br />prepared under my dired1*0 or sup"r islon in arm anre with a system d egned <br />/ DATE <br />th <br />t <br />tifl <br />l <br />- <br />t <br />th <br />h <br />I <br />to wurr, <br />a <br />qua <br />ed personne <br />Proper <br />y ga <br />er and eratoale t <br />nformation <br />e <br />subrrrltted. Beard on my Inquiry of the person or Persons who manage the systern, <br />I1 <br />yi <br />_ <br />. <br />' or than prrswa directly responsible for gathering the Inra tlon <br />the Information <br />, <br />t <br />best of m <br />knowled <br />b <br />itt <br />d b <br />th <br />d b <br />t <br />e <br />! <br />l <br />d <br />l <br />t <br />y <br />m <br />e <br />, <br />o <br />e <br />ge an <br />e <br />s <br />. <br />rue, aecvrs <br />e, an <br />su <br />comp <br />e <br />e. <br />w <br />t th <br />i <br />Inc <br />nt <br />lti <br />I <br />di <br />f <br />b <br />tt <br />f <br />SIGNATURE Of PRINCIPAL EXECUTIVE ' <br /> am a <br />are <br />e <br />en are s <br />gn <br />a <br />pena <br />es <br />or su <br />mi <br />ing fad in <br />ormation, AREA <br />TYPED OR PRINTED Incfudlnt the posolbitlry of nne and Imprisonment for knowing 0olatiotd OFFICER ON AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lReterence eM attachments here/ <br />jLE SOLIDS LIMIT APf'L_AFD FOR 24HP PR; -_P FV. NT- <br />MON I TOR I NCB: - I; a N - <br />c cDi n }-, t=, P: [? rt r? t S= r? <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. _NSc7d)a,4°p?4prttl. PAGE OF .?1 <br />1 o?-