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PERMITTEE NAMEIADDRESS lnrlrule Faeililt Aomr.lbutaitm ifDifferrnli NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME DISCHARGE MONITORING REPORT (DMR) <br />ADDRESS l <br />4 PERMIT NUMBER DISCHARGE NUMHER <br />FACILITY f.; ;..., MONITORING PERIOD <br />LOCATION YEAR MQ DAY YEAR MO DAY <br />r EF? V - FROM TO <br />id FT--I-"?i-ZK.I, MINE ENGINES <br /> <br /> <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> OF <br />TYPE <br /> EX ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE M >- <br /> MEASUREMENT <br /> PERMIT v h. _. <br />vY <br /> REQUIREMENT .. • . T i iU"T - <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT 3'. `.Sl%t. <br /> SAMPLE < e. <br /> MEASUREMENT <br /> PERMIT <br /> <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT r x u <br />VAL.: -i' REQUIREMENT <br />i J: ` SAMPLE <br />? F iS1.) R.:r GENT PLt''P,'r MEASUREMENT <br />r. r <br />h ? <br />PERMIT i : c <br />, :..: ,.. <br /> REQUIREMENT ?QD?` ;AIL 1 <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMETITLE PRINCIPAL EXECUTIVE OFFICER h,rtif, oridvr Itrnulq of I- that IM, d«vntrnt nmf :tu:maehtn'nI` urrr <br />pn•pared under ut, di-lino nr .ulH r, i?inn m aernrdune „iIh :t ??.1.•m dc.il;tlrJ / <br />' TELEPHONE DATE <br />F t." ( In a..nrr that ""Airull I-o"Irl I.ng-1, gather:u i r,.Juule the..formation <br />I <br />• / <br />. ? <br />f <br />, .ubmin,d. I <br />a.rJ un nn iuyuu t of Ihr'x. <br />.nn ..e Ita•r.mt• n h.. ntan..L' Ih.• .,.Irnt. -_ r <br />ur Ihmr IK•num dimll, r,-pm.iblr for Cab. rin¢ the wfnrntetinn. the mhtrmutinn <br />.uhmiu.A r.. In the 1-14 nt, AunwlrJLC and t-Itrf. ttir. ac. nrair. and orniiitr. ' ? e ? - • ? ? ? ? '' SI ??? <br />I am j,-re that there are -wnlrt, unt 1-allo-, her .uhminine fats iohmmation SIGNATURE OF PRINCIPAL EXECUTIVE , <br />. <br />TYPED OR PRINTED tmlurlutg Ilu i-ifolo, of fiur anI iujuI.ntttnrit for Itnoniu_• ,wkon,m. <br />OFFICER OR AUTHORIZED AGENT <br />AREA <br />CODE NUMBER <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />%,LJIVIIVICI`/ I J AIVU CArLAIVA I IVIV Vf ANT VIVLA I IVIVb f1-reference all affaOnrnen15 nere) <br />'CIP EVENT SUB,AErT T^ T l?RT)F.N OF PROOF F.E(3VIR' M1=PITS IN <br />'i T-- T`1IV,ISIC)1'. <br />EPA Form 3320-1 IRev 31991 Previous editions may he used 'fi?i;hE13'4=?IaFi HTITI. PAGE OF