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PERMFETEE NAME/ADDRESSt7nc6&iarWryN.ae?Lerarawi/D(fb s) <br />NAME <br />ADDRESS <br />BOX 98 <br />CO 8 24 <br />FACILITY ._ANE CANYON MINE <br />LOCATION CO 8 : 24 <br />TFR WH T TI FTl(1F . M T MIX Mi`R <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (/NPOES) <br />DISCHARGE MONITORING REPORT (OMR) <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No. 2040-0004 <br />MINOR <br />(SUDR DW) <br />>= - FINAL GRFI <br />CHRONIC WET TESTING FOR 002A <br />tL <br />NOTE: Read Inetrucdtx» before completing tMe form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO, FREQUENCY SAMPLE <br /> <br />EX OF <br />Y <br /> ANALYSIS T <br />PE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - : #u REOCR i <br /> REQUIREMENT S ,r P <br /> SAMPLE w . - <br /> MEASUREMENT <br /> PERMIT tl•if it#? f f? s I Jt) a tt tr -TRL.Y - <br /> REQUIREMENT MN <br /> SAMPLE t -- - <br /> MEASUREMENT <br /> PERMIT I i # Sty#### REPORT <br /> REQUIREMENT O I NGSAMP <br /> SAMPLE r <br /> MEASUREMENT <br /> PERMIT Is Is :r+?F# tt #iF##tt3t 1 : )0 r rriE# f5 -k#* '.. J I F''...: ;`i? -: <br /> REQUIREMENT M VALUE <br /> SAMPLE <br />L1i)A H ,.1 _HR, MEASUREMENT <br />- F, 0 PERMIT REF)0RT .r <br /> <br />! i i-, i REQUIREMENT 5 T N(yc?: " A! ?_ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ##IP w REPOPT +}sr ... r .-'r' lr <br /> REQUIREMENT MN VALUE <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT r. y. iE # REPORT <br />REQUIREMENT S I NGSAMP r <br />1 mrasy under penalty law that this document ¦nd all allach-ts were <br />TELEPHONE <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />DATE <br />pared under my direction or super.lyon In attordance wllh • ¦ysem designed <br />\ to aaare that qualified personnel property gather and evaluate the Information / - ? ?? <br />submitted. Based on my Inquiry of the person or persons who manage the s <br />stem <br />y <br />or those persons dlrvctly msponsible far gathering the Information, the Information L -? I - <br />• <br />submitted h <br />to the best of m <br />e ¦nd b <br />Iro <br />knowled <br />tt <br />r <br />u <br />t <br />d <br />l <br />t <br />/ <br />y <br />/ <br />' <br />. <br />g <br />e <br />e <br />, <br />e, acc <br />ra <br />e, an <br />Comp <br />e <br />e. <br />I am awam that then= fie si <br />nificant <br />smaltie for submittin <br />false lnrorm <br />WONATURE OF PRINCIPAL EXECUTIVE <br />ti <br /> g <br />i <br />g <br />ea <br />en, <br />TYPES PRINTED Including the passibility or fine and Imprisonment for knowing vlolstl a OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION Vr ANT VIVI.A 11WIZ, rmererence M errecrlmenrs nerer <br />% FFF!-J-)FNT AT W ? CH STA-l T ST i CALLY I GN 3'- D I FF <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used _ , TWs.IS a.4-pant IGTTt1. PAGE QF