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PERMfTTEE NAMEIADORESSQae6&For0y Mar WLaeafi-(fD(f--t) <br />NAME L L C <br />ADDRESS <br />=1A CO 81524 <br />FACIUTY ":LANE CANYON MINE <br />LOCATION 1A CO :ALTER. WHITLEDGE, MINE MGR. <br />NATIONAL POLLUTANT OISCHAROE EUMINATION SYSTEM //MPOES/ <br />DISCHARGE MONITORING REPORT (OMR/ <br />PERMIT NUMBER 1 AIGE NUMBER <br />MONITORING PERIOD <br />YEAR MO D Y YEA MO D Y <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINOR <br />(SUDR DW) <br />F - FINAL <br />SERI POND <br />NOTE: Read Iratructiorw before completing this form, <br />FLD <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO FREOUENCY SAMPLE <br /> I>< OF <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX ANALYSIS TYPE <br /> SAMPLE 4 <br /> MEASUREMENT <br /> <br /> PERMIT #? ## 4r;: x : ## li. - ## r? <br /> REQUIREMENT T MAX ?. <br /> <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 /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I certify tinder Pen. t. o law that thh tfocslmenl and it attachments were <br />TELEPHONE <br />DATE <br /> Prepared YndK mr di rclbn or wPervfalon In IKfOrdanfe with a system designed <br /> to assltr that quallnM personnel Prapriy gal Mr and evaluate the Information <br />wtbmlll <br />Nowd on m <br />I <br />d <br />uir <br />of th <br />eron <br />v i . <br />J y <br />e <br />. <br />nq <br />y <br />e P <br />or Persons who manage the system <br />l <br />%? S <br /> or those Its sees direct <br />y rsporlsl bk for gathering the Information, the Information <br /> sobmilled K to the bcsl of my knowledge and belief, true, accurate, and I Islete, JJ ? j .? Ll <br />J <br />; <br />-? - ?=-=- i ¦m away that there are significant Penalties for wbmilting raise Informatiow S(ONATURE OF PRINCIPAL EXECUTIVE <br />PIED OR PRINTED , <br />Including the possibility of fine and Imprisonment for knowing vldatlolea OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLA I IONS (Reference off attachments here/ <br />SOC 71E)S LIMITS Ar"PL :--D F!7F =1??,R, -,4;7F :;F7-P r <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. Th4_0-a A -pail f9nn, PAGE OF