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PERMITTEE NAMEIADDRESS (ynr&& F.rwyNw?Lx.ti- I/D(QLremr) <br />NAME <br />ADDRESS <br />60A 4sZi <br />OAIA CO 8142 <br />FACILITY I E NO. 2' MINE <br />LOCATION NIA CO 8142 <br />'_L I AM A. BEAR JR . t MINE MGR <br />Form Approved. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDESI OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT /DMRi <br />PERMIT NUMBER DISCHMOENUMSEII - FINAL OLL T A <br />iRONIC WET TESTING FOR 006A <br />MONITORING PERIOD <br />YEAR MO DAY Y AR DAY <br />FROM TO <br />NOTE: Read Irmtructlorls before completing this tam. <br /> <br />PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br /> <br />NO. ENCY <br /> <br />Pr1EOU <br />of <br /> <br />SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT t##ttit3E stx u ,t sza F Qk sblE#?t ;ris# v <br /> REQUIREMENT S I NGSAMP <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 /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAMElT7TLE PRINCIPAL EXECUTIVE OFFlCER I mrt'ry ¦ r Pena ty o(1- that this doroment and all attachments were TELEPHONE DATE <br />prepared under my direction or sup* relsion In accordance with a system designed <br />to aamm that q.ohft d personnel property gather and eraheale the Information <br />submitted. Bred on my inquiry or the pers>n a persoea who manage the system, _ <br />- <br />a those permns directly respomibie for gathering the Information, the lnformatlon - <br />submilled b, to the best of my knowledge and beMef, trw, accurate, and compkle. <br />SIGNATURE OF PRINCIPAL EXECUTIVE <br />_j <br /> I am aware that there are dg,Incant pensides for submitting Nim Information. AA[ <br />TYPED OR PRINTED Imiuding the possibility or Ilse and Imprisonment for knowing lolattom OFFICER OR AUTHORIZED AGENT CODE NukwR YEAR h DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS fRoforonco dl attachments hors/ <br />`'T RFS!)L TS nF !- FTHAt I TY DER I'J7 AS "%FF??rT" • GRP!4TH AND <br />EPA Form 3320-1 (Rev 3199) Previous editions may be used This is 8 4-?eR COtTTI. PAGE OF