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FERMITTEE NAMEIADORESS (taxiti f.,d y X..?Laarlw tfDW..u) <br />NAME LL <br />ADDRESS <br />j. BOX '?8 <br />P-IA CO S1E <br />FACILITY LANE CANYON MINE <br />LOCATION .,A Co B I E <br />li TFR WHTTI 1=17t7217. MTNF M(I-P - <br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM (/NPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER 04SCHAPME NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY MO FROM TO [nAR MINOR <br />(SUBR DW <br />F - FINAL <br />UNDERGR IX <br />Form Approved. <br />OMB No 2040.0004 <br />SALT 1 <br />NOTE: Read kietructlons before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO- FREQUENCY SAMPLE <br /> <br />EX of <br />YP <br /> ANALYSIS T <br />E <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT .:; ,; . ., h. 5 <br /> REQUIREMENT MI N1 ML)M MA: I "1UM <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #a rsr# v. tt#A r#?E s fit:: ;'-, 70 ^I L <br /> REQUIREMENT JD A- 'Cs DA Z I- 'r" : I). TI <br /> SAMPLE - <br /> MEASUREMENT <br /> PERMIT ?? # # :?^### k3rii#iF s :3500 7000 ?NCEi 9:*rAU <br /> REQUIREMENT <br />301AA -, fG <br />4. I LY <br />MOr; T <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT triFit#iFtt IiiFit#iF# °t#>*+E#?r #thlt?t u# i ?J ON <br />` <br /> REQUIREMENT ?NST MAX •'NI T <br /> SAMPLE <br />I ILk MEASUREMENT <br />7 9 (? PERMIT E}- -;T %T K r. <br /> RE <br />IRE <br />ENT <br /> QU <br />M <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT #- „- , 19 PORT <br />„ REQUIREMENT ; i-,IST 11AX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />I """y a r pens tr law that 014 dnrun+ent and all auachmenU were <br />TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />prepared under my direction or superel>ton In iamordanre with a system designed <br />_ to agars that queened personnel property gather and eealuate the Information <br />sobmltted. Bmard on my Inquiry of the Person or persons who manage the ayoem, 7- ftJ !! (? 1 <br />or those persons directly resporedbir for gathering the Informaioe., the Information <br />? <br />- - <br />th <br />t <br />f <br />? <br />+.kd <br />b <br />i <br />t <br />d b <br />t <br />b <br />d b <br />f <br />r ('? <br />? ` <br />• <br />e <br />es <br />o <br />me <br />no <br />gr an <br />- <br />!. <br />su <br />m <br />t <br />e <br />o <br />eBe <br />. IrVe• areunle, and eompkte. <br />. <br />i I am aware that then are alprncant Penalties for submittin <br />raise Information <br />,1011111 RE OF PRINCTrAL EXECUTIVE (7 ( <br />r <br /> g <br />, A "E <br />TYPED OR PRINTED I.clreding the poaelblaty or nag and ImpMortment fa knowing Hdatlorrs OFFICER OR AUTHORIZED AGENT <br />ODE NUMEIER <br />C <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference ad( attachments here! <br />_.RIOD REPORTED <br />ASE - SEE I. B. 1. C. TDS MON <br />EPA FtNm 3320-1 (Rev 3199) Previous editions may be used. ; 31 ; ; This is a 4-part berm.