Laserfiche WebLink
PERMITTEE NAME/ADDRESS p.ek ? iaed RyNrr?I,ee.naw (/D06rsa) <br />NAME <br />ADDRESS <br />QA IG CO 81621 <br />FACILITY o ER MINE <br />LOCATION j G CO 81621. <br />:"II1OND G. DU BOIS, PRES/GM <br />NATIONAL POLLUTANT OISCHARGE ELIMINATION SYSTEM NPDESI <br />DISCHARGE MONITORING REPORT /D R/ <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 UC) <br />F - FINAL MOF <br />ACUTE WET TESTING FOR 011A <br />NnTF• R..A I-tnrr-rlr,.,. k.l.,...-,...... i.•.?..., 0,1. 1- <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br /> MEASUREMENT <br />G PERMIT ;, 100. 0001 TRLY AB <br />a RO REQUIREMENT MN VALUE <br /> <br />.' E 96H _ SAMPLE <br /> MEASUREMENT > <br /> PERMIT lc it## isi##?t 1007-0700 1 :? ::.*x t ##iFil# - <br />jTR <br />LY <br /> <br />-RA- 13 <br />_i_; . F Gi?lJ` • ' REQUIREMENT r MN VALUE <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 /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMEfITRE PRINCIPAL EXECUTIVE OFFICER i `enay ° nder penalty o Is* that this document and all allachments were TELEPHONE AT <br /> <br />prepared under my direction or mpervhlon In accordan e, with • system deigned D <br />E <br />-- ?? <br />. ! <br />.! ;/ / i .. to more that qu.tifl d personnel properly gather and elsiNsle the Information <br />sobmltted. Bred on my lnqulry or the Person or <br />ersons wh <br />th <br />. <br />. p <br />o mange <br />e system, <br />or (how person directly responsible for gathering the Information- the info,wssu m <br /> fubmltted Ys, to the best or my knowledge and belie{, trove, accurate, and compkte- - - _ <br /> 1 am swam that there are significant Penalties for submitting false Information, SIGNATURE OF PRINCIPAL EXECUTIVE - <br />TYPED OR PRINTED Inckding the possibility of floe and Imp Isonment for knowing 0olatlon. OFFICER OR AUTHORIZED AGENT CODE NUMHER YEAR MO DAY <br />-8, FOR DETAILS OF TEST PR, E. REPORT LCSO - STATISTICAL PIONT ESTIMATE WHICH IS <br />TEST ORGANISMS, AND ATTA(:! E TOXICITY TEST REPORT FORM TO DMR. WHEN WET TESTING NOT <br />u ? ., r-, : , , , D>=,-.t t v at=r? _ c•t to r_ e: •r_ n: th:ntr r_, ., •?rl n,,wr. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. r}?Ig t& a. i_paEr f?rm• PAGE OF