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PERMITTEE NAME/ADDRESS nwcb" FarWyryNaaaWLoral,on I/D(QD ') NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM NPOESI <br />NAME DISCHARGE MONITORING REPORT (D R) <br />ADDRESS <br />..i. FJQX 48_ PERMIT NUMBER DISCHARGE NUMBER <br />CiNIA <br />FACILITY J I E NO . 2, 11 1 N -r: MONITORING PERIOD <br />Y AR DAY I Y AR O DAY <br />LOCATION -:IN IA CO 814: FROM TO <br />? Ll_IAM A. BEAR JR. MINE Mt';;r <br />Form Approved. <br />OMB No. 2046.0004 <br />.•1If':C?i? <br />(SUBf ii <br />F - F I r•: AL DEi <br />DSCGH OF SR TO GUf4NIS0N RIVER <br />NOTE: Read instructions Dafora completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br /> EX ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ###### ### iFk## YI L I- T <br />IN _.1 I-1, <br />. <br /> REQUIREMENT M I rv 11`1 I_'' i MAXIMUM <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ?t # at ;? a 3s si : ?r it 35 •, r ; <br /> REQUIREMENT ODA r* ',,G' 1'_Y 1'f X MONTH <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .>:?r ii##3c# RFPURT _/ ,n:f7;, <br /> REQUIREMENT }CIA AI•,'G <br /> <br />Ii <br />AILY MX <br />MOhd; H <br /> SAMPLE <br />j MEASUREMENT <br /> PERMIT ##it# # if##### R##st;-r '3u(_"j 600u I Lt: !• ;:+ <br /> REQUIREMENT '30LA AVG DAILY I`1K <br /> SAMPLE <br /> MEASUREMENT <br />1'2 1 G PERMIT ###4F? 3P#### i #:t :r .: of iF#4E'I a'3 1. iti 77777 <br /> REQUIREMENT IN!-ST MAX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 'ODA DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT e ; ... n .: . i_ <br /> REQUIREMENT ; iST MAX <br />NAME/7TTLE PRINCIPAL EXECUTIVE OFFICER I `er ily under pen' i o la" that thH document and all anachments v.en TELEPHONE DATE <br /> prepared under my direction or sup-Ingon In accordance with ¦ system designed <br /> to assure that quahfled personnel Property Lather and evaluate the Information <br /> auhrrilled. Based m my Inquiry of the person or persorn -ho manage the system, <br /> or those perm directly resp*#Wbk for gathering the Informatbn, the Inrormellon <br /> suMrsllled K to the hest of my la rrWile and belief. Irue. atcslrale. and rornpkle. - <br />i <br /> 1 am aware that Ihm are sl <br />nllicaat <br />moldes for phmlltln <br />Wme Informati <br />n SIGNATURE OF PRINCIPAL EXECUTIVE - <br /> g <br />p <br />g <br />o <br />. <br />TYPED OR PRINTED Inrludhrg the posdhlNly of l1w and Imprisonment For knowing vIole0- OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reioranca sat attachments horal <br />;F: F:r?r - T c? 1rt.'C=P.(T lil-IMFL. 1F CI-AIM <br />r - <br />M F F' F F C) I-. <br />PAGE OF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used Thl" 4-pan form.