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PERMITTEE NAME/ADDRESS (I hide File-dim.Naw.-'L carton it D)#f reral <br />NAME <br />ADDRESS ENC I TO CANYON MINE <br />._, WE. ?T MAIN STREET <br />''RINIDAD CO 61082-2f <br />FACILITY !_ORE.WC I1 0 CANYON MINE <br />LOCATION,J) ETON CO 81041 <br />it Cz THnMP!z:nN. A(,F=NT <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMBER i _ NAL LAMAS <br />MONITORING PERIOD G A TO I R F RV <br />YEAR MO DAY YEAR MO DAY FROM TO <br />NOTE: Read Instructions before completing 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 /> PERMIT s <br /> REQUIREMENT - ., ..} . <br />(3i_ i 0 SAMPLE <br />3i.;5PENDEL MEASUREMENT <br />70 <br />PERMIT <br />.tr r. _( 4C -?Aq <br />F; i Vr NT GRt. FS VALU' REQUIREMENT -3 i) LrA <br />_• _ ,_ ; . i - SAMPLE i <br />1 <br /> MEASUREMENT 1 <br /> PERMIT t ?':z•r. { <br />1_lEN' aR flr 7 v ,L.l'_ REQUIREMENT :UI`:T H <br /> SAMPLE <br />I <br />? - - <br />t' T L_ Y D I" - 1 MEASUREMENT r <br />C, J PERMIT t I. E"(1P T <br />R JSS '?'A1 t REQUIREMENT <br /> SAMPLE . . <br /> MEASUREMENT <br /> PERMIT _ # r:%<-k iP;yx.#r:y ^If##t..# ,, ?`tiTI1`J =T:ti. <br /> REQUIREMENT <br /> SAMPLE ,- <br />; MEASUREMENT <br /> PERMIT -r: T r,-. °",R <br />AL')'. REQUIREMENT <br /> SAMPLE 94) <br />• : r •. MEASUREMENT t <br /> PERMIT ?. ?: rc = C ? _ 'L tt # ; - g it A i.,; • _ <br /> REQUIREMENT <br />NAMEJITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of lau that this ducunent and ell +utaihtnentz were <br />i <br />h TELEPHONE DATE <br /> a -aystim <br />prepared under my direction or surwi ision in accordance %it <br />e igned <br /> to assure that qualified penonncl properly gather and esalu.ttc the ntnrmahon <br />i submitted Based un m% tngmn of the rim on or persons who manage th a system. <br />-J <br /> <br />C on <br />or those persons directly responsible for gathering the mtormatron. the I tormati <br />Y <br />? <br />f , <br />Y V suhmtrod m to the best of my knowledge and belief. true. accurate. and cornplcte. <br />bc m6 <br />tio, <br />th <br />si <br />if <br />t <br />n <br />lti <br />r <br />b <br />itti <br />i <br />1 <br />sy <br />t th <br />f / ) <br />SIGNATURE OF PRINCIPAL ECUTIVE ' I <br />r <br /> <br />TYPED OR PRINTED are <br />pe <br />es <br />m <br />ng <br />a <br />mm <br />'. <br />am a <br />a <br />ere are <br />gn <br />ican <br />a <br />o <br />su <br />assibility of tine and imprisonment for knuu in, n•i <br />includin <br />the <br />r;.n'O OFFICER OR AUTHORIZED AGENT AREA <br />NUMBER <br />YEAR <br />MO <br />DAY <br /> , <br />g <br />p CODE <br />IiVMMC17117 MI\LJ GAr L.Mvilm I IVIY Vr rill l VIV LR 11 V19.7 1n Or01 c+r(.c all arlald llrlcl'ta rlcl ar <br />ECIP EVENT SUBJECT TO BORDEN OF PROOF REQUIREMENTS IN <br />,;•, ; : - r,. TO THE DIVISIC)N WITHIN 48 HOURS. <br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. > _ } ?TIS• 1st a 4-pwi fk1m1.