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PERMITTEE NAME/ADDRESS (7--"F-MYNwwatL-ation (JD(er #) <br />NAME <br />ADDRESS <br />8OX 483 <br />JIA CO 81421 <br />FACILITY " E NO. 2 MINE <br />LOCATION I A CO 81421 <br />NATIONAL POLLUTANT OISCHARGE ELIMINATION SYSTEM ((NPDESI <br />DISCHARGE MONITORING REPORT (DAfRI <br />PERMIT NUMBER DISCHAAGE 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 MH) <br />F - FINAL <br />CHRONIC WET TESTING FOI <br />NOTE: Road Instructions before completing this form. <br /> No FREQUENCY SAMPLE <br />METER QUANTITY OR LOADING QUALITY OR CONCENTRATION . OF <br />PARA EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT iE}t?t##it ??#ir REPORT ?t##### -# <br /> REQUIREMENT S I NGSAMP <br /> SAMPLE <br /> MEASUREMENT <br /> <br />r_ ( r PERMIT s!#### ii#9t#dir# 1C,?; 3f##st'E?F tF#'a;t + R.L ? :C <br />^ REQUIREMENT VIN VAL.UE <br /> SAMPLE <br />MEASUREMENT <br /> ' <br /> PERMIT ?+1f,! ### REPORT <br />- # A .- ## ## T <br />TFtL <br /> REQUIREMENT S I NGSpaw <br /> SAMPLE <br /> MEASUREMENT <br /> ` <br /> PERMIT i.-S ::yt73f Iti(j irlt#yFtFit si##iF?F '_ <br />( <br /> REQUIREMENT MN VALUE <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT jtiFlru REPORT ;r <br />J REQUIREMENT S I NGSAMP <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT < . ,. sr REPO,- <br /> REQUIREMENT S I t dtS? <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT REPQF _ <br />REQUIREMENT S I nlr?!= ': ,;_ <br />NAMEMnE PRINCIPAL EXECUTIVE OFFICER I " ' y " er P'n' ty ° aw that this documenl end all attachments wen TELEPHONE <br />prvpered under my dlnctlon or superH>fon In accordance with • lyetem dtslgnnd DATE <br />to "sun that qualified penonnet properly Sather and evaluate the Information <br />sobmltted. sand on my inquiry of Uw persen or persons who manage the system <br />or those peso- dlncliy responsible for gathering the Information, the Inrern allon <br />submitted N, to the bet *(MY knowYdge and belkf, tries, accurate, and complete. <br />F ?RINCWAL EXECUTIVE <br /> i am swan that then as sfgnlnea e( pen"Itlas for submitting false InromoWn, SIGNATURE O NUMBER YEAR MO DAY <br />TYPED OR PRINTED Including the possibility of fl- and Imprlsen-ant for knowing Attledona OFFICER OR AUTHORIZED AGENT COD <br />COMMENTS AND EXPLANAIIUN Ur AMT VIVLn l lvrao Irierererrtce wt w..w.a.ttt-...? tt-t-t <br />PT <br />RESULTS OF LETHALITY DERIVS AS "%EFFECT"n <br />GROWTH AND <br /> <br /> <br /> This is a 4-part form <br />' ?' ' PAGE OF <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used.