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FLw.ii r i EE AM, L ,., La <br />NAME <br /> iii f t LLU <br />ADDRESS , '_t LIyL 1 T+_7 iCA1NYON t`l I NE <br />WEST MAIN STREET <br />iNIDAD C0 8108 <br />FACILITY <br />, ENC I TO CANYON MINE <br />LOCATION WESTON CO 61091 <br />Af'INAI n r- THRMP--IINI. AnrNT <br />`IP" %t:.-L rI i. r. .T <br />I P, <br />DISCHARGE MONITORING REPORT (DMR) ` <br />PERMIT NUMBER DISCHARGE NUMBER T r.lgl_ LAMA5 <br />MONITORING PERIOD ?ATC?ft ? E'? <br />YEAR MO I DAY YEAR MO DAY <br />FROM TO I( <br />NOTE: Read Instructions before completinq this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br />>< <br />EX OF <br />TYPE <br /> ANALYSIS <br />. AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />SAMPLE <br />MEASUREMENT <br />f' PERMIT b r_ j 1-WICE/ RAP, <br />REQUIREMENT [I0jNTf <br />uS SAMPLE <br />iF END i MEASUREMENT <br />PERMIT ##sF#jtG r'st t - -i ? 45 :`WLCE: uRAG <br />Fl_ ENT ;RCl S VFt REQUIREMENT ";JL:?t H`?Crl li: P1GNT: <br />1L L DE•,( .. SAMPLE <br /> MEASUREMENT <br />Q545 1 C , PERMIT r t#-!# } ri FF''7F'.T <br />F' L..!Fi`ET GROSS REQUIREMENT 1 <br />E r.P.l i U('i, SAMPLE r <br />DTENTIALLY DISSt"_.`.'_ MEASUREMENT <br />"1323 1 G 0 PERMIT t.4 4.1 t <br />'.^FL I_!FNT R OSS REQUIREMENT j <br />T 1: <br />A I L <br />- '' <br />SAMPLE <br />' ? t <br />- <br />. t <br /> MEASUREMENT <br /> PERMIT #4 'f-4-^ 1 ?.;? =x a 10 N .'F?AT; <br />_ F FL.!J' N T GROSS :'ALI_% REQUIREMENT INST MAX <br />FLOW, IN CONDUIT fD`? SAMPLE + x##x# <br />THRU TREATMENT PLAN-: MEASUREMENT <br />Jc: j PERMIT F?r•°"? i R. t •t 't?#i# a?.ij"F.j .CiiF'_:t{ <br /> REQUIREMENT IlA • :.: X :.. <br /> SAMPLE t r ? :i I = t <br /> MEASUREMENT 1 <br /> PERMIT s! 3tiFyt h » ## t yt a LJ ?i <br /> REQUIREMENT <br />NAME/TtTLE PRINCIPAL EXECUTIVE OFFICER 1,crfifv under penalty of law that this dtwumeni and all .utachmems werr <br />?'? <br />- TELEPHONE DATE <br />r prepan,l under my direction or uper%ision in accordance with a stsi m d ,,ene.l ; <br />•r <br />_ <br />i I [ <br />- i / - it, assure that gtui iii •d persi:mnel propcrh gather and evaluate the ml m m kn <br />b <br />d B <br />d <br />? <br />- su <br />mit[ • <br />au <br />on my inquiry of the ixrson or persons who Imlrtage the sstrm. I t?y . ?' ? ? <br />?-. - or those persons directly responsible for gathering the mtormahon. the information <br /> submitted is <br />t.l the best,,Fmy knowledge and belief: true <br />accurate <br />and o,mplou <br /> . <br />. <br />, <br />I am aw <br />re that there are <br />ignif <br />bmittin <br />nt <br />xn <br />lt <br />f <br />r s <br />U <br />informatio SIGNATURE OF PRINCIPAL EXECUTIVE <br />TYPED OR PRINTED a <br />s <br />ica <br />f <br />a <br />ics <br />u <br />g <br />se <br />n- <br />o <br />including the possibilm of fine and imprisonment for knnwme violations OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER YEAR MO DAY <br /> CODE <br />VVnnwllCtl Ill M17V GAr Lmill i11Vll Vr MI.1 VlwI 11VIYJ Inalat wit%,= all a11awill1C11131 /ICICl <br />ECIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS IN <br />TO THE D I V I S I CIN WITHIN 48 HOURS. <br /> <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. I -1t r}9 Q; ?fiIl.