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PERMITTEE NAME)ADDRESS(7,-"F-O*N.-,dL«.1twl%D(f--t) <br />NAME <br />ADDRESS <br />)NIA CO 81428 <br />FACILITY J I E NO. 2 MINE <br />LOCATION '.)NIA CO 81428 <br />iLLIAM A. BEAR JR., MINE MGR <br />NATIONAL POLLUTANT DISCHAAGE ELIMINATION 4YSTEM /INPOESI <br />DISCHARGE MONITORING REPORT (DMR) <br />PERMIT NUMBER DISCHARGE NUMSET <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />Form Approved. <br />OMB No 2040-0004 <br />MINUK <br />(SUBR MH) <br />F - FINAL <br />CHRONIC WET TESTINn, FOR 006 <br />NOTE: Read Instructions hste»s 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 /> <br />- PERMIT YlfiE REPORT <br />*### } <br />;t t?titlt <br />;.. _ . REQUIREMENT S I NGSAMP 1 <br /> SAMPLE <br />MEASUREMENT <br /> <br /> PERMIT j <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> <br /> PERMIT <br /> REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I nruty uncler penally 0 lew that thls doaromenl and aB ¦Itachments were <br />TELEPHONE <br />DATE <br /> prepared coder my direction or wper.dfon In accord- with a syafem designed <br /> to mere that quallfkd penwnnei property gatMr and eealuaie the Inforwsalion <br /> wbmitled. Bred on my Inquiry of the person « persons who manage the system, <br /> or those persur directly responsible f« gathering the Information, the Information <br /> wbmilled 1% to the best o! my know4dge and b~, Into. tl c role. and menplefe. t <br />• I am a.are that there are slgNftcsnt penaltla for submitting fate Infornedon, SIGNATURE OF PRINCIPAL EXECUTIVE _ <br />-- <br />TYPED OR PRINTED Inchrding the poaaibiBty of one and Imprlaortment f« knowing AcIatlom, OFFICER OR AUTHORIZED AGENT CAREA <br />ODE NUMBER <br />j <br />YEAR <br />MO <br />DAY <br />t.vmmcn I a nrev ?..r ?.-.............. , ...,..,..................... ....., <br />RESULTS OF I: FTHALIT`er DFRT?Ic AS "%EFFFCT"; GROWTH AND <br />EPA Form 3320-1 (Rev 3/99) Previous editions may be used TW Is, a t j r( tgrm. PAGE OF