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PERMITTEE NAMEIADDRESS (7--&&rwoy)v..wL[ .,,a (fDO6 . ,) <br />NAME <br />ADDRESS <br />bUX `i8 <br />U E3 <br />FACILITY LANE CANYON MINE <br />LOCATION A C U E3 <br />I_TER WHITLED'GE, MINE MGR <br />Form Approved <br />NATIONAL POLLUTANT OtSCHMOE ELIMINATION SYSTEM /rNPOESJ OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER OISCHMOE NUMBER I N A L GIB f <br />r.? MONITORING PERIOD 'ROUND MINE TO E SALT CR. <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read kletrucdor» before completing this form. <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 /> PERMIT # r.?l#Sr ?-. #?t K. ti J L'• ti r. - <br /> REQUIREMENT MAXIMUM <br />_ SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT # '?t ?•t##sr ?ru?iit t_7 ._ ,... <br /> REQUIREMENT DAILY MX <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT # r ## it Ir _ 7000 u ... G RAP <br /> REQUIREMENT )i iA DAILY MX IMDNT?- <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT llir 3f a it stir st >` x ft tt q 1t ` l- i r , l ; :1 <br /> REQUIREMENT ' I•iS f NAX GENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />1 0 PERMIT ; __Po.. f REPORT <br />T GRUI,' REQUIREMENT ?TR DAILY MX <br />7' G L ,- S SAMPLE # <br /> MEASUREMENT <br /> <br />PERMIT <br />REQUIREMENT T MAX <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I fe^' y " of Pen' i' ° Is. the[ it document and all attachments were <br />TELEPHONE <br />DATE <br />prepared finder my direction or supervision In accordann with 2 system designed <br />to assure that qualified Personnel properly gather and evaluate the Infornulloo <br />aabmltled <br />Based on my In <br />uir <br />or the <br />erson or <br />erso <br />wh <br />n <br />th <br />. <br />q <br />y <br />p <br />p <br />nna <br />o ma <br />age <br />e system, <br />' <br />? - or thaw persons directly responsible For gathering the InforanetIM the Information <br />l <br />b <br />i <br />t <br />d h <br />t <br />t <br />r <br />su <br />m <br />t <br />e <br />, to <br />he Def <br />o <br />my knowledge and belkf. hue, attvnle. and compere. L ?- ?/? ? <br />.-/ ` ' t -- 1 am aware that there are dlNfkam penaliks for anbmlttln/ W. Inre-tion <br />AIGNATVRE OF MIROPAL EXECUTfVE ?J ? (l,.l.. ,?) <br />-' <br />TYPED OR PRINTED . <br />Incfudlag the poodbiltty of fine and Imp honment for knowing 0olatlorm OFFICER OR AUTHORIZED AGENT <br />NVMBER <br />CODE <br />E CODE <br />YEAR <br />MO <br />DAY <br />I.VMMCI`/1J AIYV CnrLnrsnrrvre yr n•• •••+.?.••vre.,. fire wr wr wrrv ewe wuwa.nrnwnro nwr aq <br />RIOD REPORTED, OIL & GI c_A5£ - SEE I. B. I. G. TD5 MONITORI <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. This I$ a 4-part form-