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rEFtM TTEE NAME/ADDRESS 17--h-As F-64Nw?L«401°" VD(06-) <br />NAME L 1._ C <br />AOORESS <br />BOX 98 <br />IA CO 8i? 24 <br />FACILITY :_ANE CANYON MINE <br />LOCATION A CO 8 i c:124 <br />NATIONAL CHARGE MON TORIN(i REPORT /DMRJPoESI <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MOJ DAY YEAR MO DAY <br />FROM TO _ <br />rairyq.w <br />OMB No. 2040.0004 <br />MINOR <br />(SUBR DW), <br />F - FINAL GRi <br />UNDERGROUND MINE TO E SALT CR. <br />NOTE: Reed imtructlone before comPletlr+9 this form. <br /> NO. FntOUE"cY SAMPLE <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br />EASUREMENT <br /> M r FEI<l IN '= <br /> PERMIT S stir i#3t=: j _ <br /> REQUIREMENT rIIN I! '. '' MAXI? it;i IN <br /> SAMPLE <br />EASUREMENT <br /> M : =`'r?B <br /> PERMIT ?? t>f x r##!t#. :set### -. <br />A AL`' <br />1{ r (a <br />DAILY ;•1X ilvia? <br /> REQUIREMENT 1 <br /> SAMPLE <br />MEASUREMENT <br /> 000 iJl )=; GRAB <br /> PERMIT E## tsr x :r ,- 35VO <br />t 7 <br />Y MX <br />I i lIN i <br /> REQUIREMENT 220DA A DA <br />L <br /> S AMPLE <br /> MEASUREMENT <br /> Tara r ? ? ;:, <br /> PERMIT fit <br />i I'!A`-; <br />NT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT pr?'• , - <br /> SAMPLE <br /> MEASUREMENT <br /> Jr::_ <br /> fx is <br />fi RFTORT _--, ttif#'s <br /> PERMIT <br />REQUIREMENT : :_)T MAX <br />t <br /> SAMPLE <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT <br />I mthly e, per.. t) o aw that thh document and all attachments wen TELEPHONE <br />NAME /T ITLE PRINCIPAL EXECUTIVE OFFICER prepared under my die tlon or mperellon In accordance with a system designed DATE <br />to assure that qu.mned personnel prtpeAy gather and eraluate the Informe0on 2 V <br />or the person or persons who manage the system. <br />m <br />In <br />uir <br />B <br />d <br />y <br />y <br />on <br />q <br />submitted. <br />re <br />onsible for gathedng the Inrornuuoa. the Inrormsuon 6? 7 <br />di <br />ectl <br />res <br />` <br />1 0Z 06 <br />, <br />1 <br />y <br />r <br />p <br />or those penes <br />7 <br />to the best of my Itaowkdgt and bOW. In", accurate and complete. <br />d Is <br />bmitt <br />-? / <br />^ -= , <br />e <br />su <br />medon <br />lte <br />fals <br />I <br />r <br />b SIGNATURE OF rRIMCMAI EXECUTIVE AREA <br />Lt?.., , <br />n <br />or <br />m <br />mg <br />e <br />1 am swan that then are slgnIncant penartks for w <br />vWstrom <br />F <br />k <br />wi <br />OFFICER OR AUTHORIZED AGENT NUMBER <br />CODE YEAR MO DAY <br />TYPED OR PRINTED no <br />ng <br />or <br />Intruding the padbnlly or nne and Imprbomment <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference 0 •f echmente hers) <br />Rim) PEPORTED. OIL_ & GREASE - SEE I B. 1. C. TDS MONITORI <br />-Thisss a d-part form PAGE of <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used.