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PERMITTEE NAME`ADDRESS rlrtcdr,rk Furiflt-,-.Vaene L, -tilioa it Differenp <br />NAME 'AL <br />rCIMPAr„ ; I_LC <br />ADDRESS __ NC I 0 CANYON MINE <br />WEST MAIN STREET <br />' N I DAD C-01 6106L <br />FACILITY =NC I TO CANYON MINE <br />LOCATION _ ,TON Go 61093 <br />INIAI r1 TWnMPGfTAI. An-I=NT <br />DISCHARGE MONITORING REPORT (DMR) ` <br />PERMIT NUMBER DISCHARGE NUMBER _ F T NAL. LAP <br />MONITORING PERIOD - - r'jy <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREDUENCY <br />OF SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br />j PERMIT <br />r c i. i j. REQUIREMENT <br />T u T SAMPLE <br />i_Ni0ED MEASUREMENT <br />.' `• 30 1 G :, PERMIT . a .o- Ys Ir ?. S <br />F t Nr GROSS VAl_'..JI REQUIREMENT <br />J i _ SAMPL E ? <br /> MEASUREMENT <br /> PERMIT <br />r : Uf i'1 i GfrL,c,c• t? REQUIREMENT <br />i N I UN, SAMPLE i t <br />-NTILLY DI^,S :I MEASUREMENT <br />i '? <br /> PERMIT <br />T ) <br />"r r L t II_ N- 3Rf)5S VF1L_i !_ REQUIREMENT <br />U I SAMPLE u <br /> MEASUREMENT <br />r.-' .. PERMIT a2 :. L:< it#'f.r-• t?ix rkif 1Q n-T IN ,Rr".i <br />L r - VALUF REQUIREMENT r? S1' I•Iq%, <br />I;)t) I T Qt: SAMPLE _- ao- tt x <br />NT PL. '•i MEASUREMENT <br /> PERMIT r jY r tY i [ j' y -* # + x a # i ry <br />r REQUIREMENT j r <br /> SAMPLE ;. I r# *#°? :> <br /> MEASUREMENT <br /> PERMIT i# = Fi: ,1 _.•r-??-,? oazfi i iFU.v.t,-, WT ' T^ <br />t REQUIREMENT <br />NAME/TITLE PRINCIPAL (EXECUTIVE OFFICER I emit' undo pcnulh ..t Iaw tl>at thi drwumrnf and all dnashmr•n w <br />d <br />h ere <br /> ance Nlt <br />a V lem designed <br />prepared under my direction or uper%i ion in accor <br />to assure that qualified personnel prcperh gather and cs aluatc the mlonnatiom . <br /> l J ?9 <br /> submitted Based on my inquiry of the Person or xi-sons so <br />i, mama a the svsfcnt. •/ <br /> <br />Imo those persons directly re>ponstble for gathcnng the information, the mformau.: n <br />d h <br />tr <br />b <br />th <br />I <br />t <br />k <br />d <br />li <br />f <br />m <br />u <br />d <br />+ <br />l <br />i <br />t <br />d <br />t <br />f <br />i -! ?, <br />fl - . J %S - - <br />, 1s. <br />o <br />nou <br />gc an <br />c <br />, <br />ra <br />, an <br />., <br />rnp <br />: <br />mi <br />te <br />o <br />e <br />xs <br />my <br />c <br />e <br />re. ail <br />su <br />r uFn;icnn <br />- mt:.m:ar <br />w <br />th <br />t th <br />if <br />t <br />lti <br />t <br />I 1 <br />°n <br />t <br />i SIGNATURE OF PRINCIPAL IR?ECUTIVE <br />I <br />TYPED OR PRINTED , <br />are <br />ican <br />pena <br />« <br />, <br />g <br />. <br />. <br />am a <br />a <br />en arc s <br />gn <br />n <br />the <br />ssibilit <br />nd im <br />n.onn,.m i,rt nowm <br />in <br />lud <br />f tine <br />n•L,ri 'n OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER YEAR MO DAY <br /> g <br />p <br />. <br />c <br />i <br />po <br />y o <br />a <br />^ CODE <br /> <br />t,UMM C141J JANU r-ArLJ•1IVM I IUIV Ur N19T VIULMI IUIVJ Irl Ct Ct triluiv all 41LOW1111Clrtz r1wr v/ <br />1 C'IP E'•JENT SUB-IECT TO BURDFH !1r' PRIDOF RrrGI.IThFMFNTS YN <br />T!''= DIVISi WITHIN 4F3 - <br />EPA Form 3320.1 (Rev 3/99) Previous editions may be used. PAGE OF <br />O 5? 4 / C}??s''? ?.4-pa+t,form-