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PERMITTEE NAME/ADDRESS (l-&-* Fertility Nawaa/L«a son tfD(ffe-w) <br />NAME <br />ADDRESS <br />BOX y8 <br />+ co E <br />FACILITY _ANE CANYON MINE <br />LOCATION CC) E <br />i_TER WHITLEDGE, MINE MOF <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO D Y <br />FROM TO <br />Form App,c.e-' <br />OMB No ZC:G 00 <br />OND DSuHRG TO E <br />All, <br />NOTE: Read IMtmctlone before eomnlatlno this fofm <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREGOUFNCY SAMPLE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT Ifir :: ##### sF q. <br /> REQUIREMENT M IN I FIIJ, I Mn <br />;' t' r 1l if i <br />• , ., SAMPLE <br />MEASUREMENT <br /> <br />J PERMIT <br />REQUIREMENT ?t c zi ##### 3f <br />'ODA 70 <br />D'+If_'1' MX _:;•d <br />:.NT. c; , <br />-.. .._..'.1 SAMPLE <br /> MEASUREMENT <br /> <br /> <br />>t<' i ;' PERMIT <br />REQUIREMENT : iFat #'I < ; ## #iF# 3t# # .; <br />)afi IL't" MF. _ <br />,'1+_1f?1 ?F _ <br /> SAMPLE <br /> MEASUREMENT <br /> <br />t . <br />I? PERMIT <br />REQUIREMENT tr ### :? +## ####?t •u O <br />?DA `, G 0 <br />DAILY MK J <br />MONTF <br /> SAMPLE <br /> MEASUREMENT <br /> <br />! PERMIT <br />REQUIREMENT <br />MAX i'•. f <br />:cNT ( . <br />L•; , SAMPLE <br />;J MEASUREMENT <br /> <br />1='C' P(- <br />P7 <br />F <br /> PERMIT <br /> <br />REQUIREMENT - <br />) <br />t;'A REPORT <br /> <br />:'+ILY MX <br />r i <br /> SAMPLE <br /> MEASUREMENT <br /> u ` <br /><_ <br />_, it # <br />PERMIT K <br /> <br />REQUIREMENT NAMEnME PRINCIPAL EXECUTIVE OFFICER ptti'y ° law th•"hy d°rs'"'•"' •'sd •° .nan menu were <br />YTE <br />LEPHONE <br />prepared under my dlrerllon or super lac- In accordance with • sysleen designed <br /> <br />DATE <br /> to zone" that quafined personnel properly gather and evaluate the Inr,natlon <br />mbmtttad. sand o" my Inquiry or ue person or persons who manage the p,,m, or than pregame dlrectly MPormdble for gathering the Informatlow, the Inroeunllon <br />t <br />b <br />i <br />d K t <br />h , <br />/ <br /> <br />_l su <br />m <br />e <br />t <br />o t <br />e bw of my knowledge and brief, trot. at mte. and rompiele. <br />I am aware that there are slgmdncint penald" for mbnotttng hlse Information, <br />E16NATURE OF PRINCWAL EXECUTIVE 1/701 <br />! <br />VCI (L <br />T <br /> <br />TYPED OR PRINTED <br /> <br />......ur.rtr sun evom auaTtnu nF •ktiv Vint <br />Including the possibility of fine and lmpr%onmenl for knowing r1d•tiow. <br /> <br />ATtname <br />OFFICER OR AUTHORIZED AGENT A9EA <br /> <br />E NUMBER <br />CODE <br />C <br /> <br />YEAR <br /> <br />MO <br /> <br />DAY <br />'AB1_F 901._IDS LIMITS APP' TFO FRP '=10YP.; ='4HR c7z=rTP E'iE?fT; <br />'HR <br />pi i!l; <br />EPA Form 3320-1 (Rev 3/49) Previous editions may be used. _ This is a4-;14rt form. PAGE OF