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<br />PERMITTEE NAME/ADDRESS (Iwdr4 i.elbryN..?L«.r,aw 1JD(&%-$) <br />NAME <br />ADDRESS <br />box tii8 <br />A co 8 <br />FACILITY ._ANE CANYON MINE <br />LOCATION <br />:.TER WH I TLEDGE, MINE MGR <br /> <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDES! <br />DISCHARGE MONITORING REPORT IDMRI <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 />(sUBR DW ) <br />F - FINAL <br />L"HRONIC WET TESTING FOR OC <br />- }Q <br />NOTE: Read kwtruetlorw before coinplot" this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, <br /> <br />EX F1IEOUENCY <br />OF SAMPLE <br /> <br />TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />- <br />i? PERMIT ?'-?'?-#•si••>i sE#?: REPORT •iE 77777 <br /> REQUIREMENT MN VALUE <br />Y <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 />t <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT + <br />NAMEfT1TLE PRINCIPAL EXECUTIVE OFFICER I rerbtr u r penalty ow that thh damnvenl and all allachrrwnts were <br />TELEPHONE <br />DATE <br />prepared coder m7 dlrectian er w,pervhlo. In aecordanee Mlh • ryetem dtslgned <br />to assure that quatlaed personnel properly gather and evaluate the Information <br />a <br />m <br />e <br />o <br />r <br />e <br />wh <br />- <br />th <br />t <br />d <br />d <br />in <br />ir <br />(the <br />war <br />m <br />y <br />p <br />rson <br />r pe <br />so <br />u <br />o <br />age <br />em. <br />submitte <br />. <br />qu <br />y <br />e sys <br />l <br />?? <br />y resporssibie for g.th.Hng the Information, the Information --- <br />or thou perms direct <br />_ <br />'9 <br />A aubmllted h, to the best of my knowledge and betlef, true. atcv,rste, and complete. <br />fIONATlME OF PRINCNAL EXECUTNE <br />f <br />I O - <br /> 1 am .ware that there are elgrW <br />lcant penaltle for wtbmllting ww <br />nformation <br />TYPED OR PRINTED lnduding the podbltl'v of Rne and Impelsowntent for knowing vloletlowi OFFFCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IReforenco aM attachments hare! <br /> I Cjlir-c-r FFF!.l!FI':T AT blH `'H F-rATl9TTCAI_l_Y SIC=1?I' I IrF <br /> <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used This iS a 4 -Pall form. PAGE OF <br />