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PERMITTEE NAME/ADDRESS(haM4F.rehryN.w?L«.ti-(fD(D rnr: <br />NAME <br />ADDRESS - - <br />Bux 96 <br />rFj 8] <br />!A <br />FACILITY -ANE CANYON MINE <br />LOCATION A C 0 8 <br />,t_TFR WHITI._FDQF, MINE MGR. <br />Form Approved <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (INPOES] OMB No. 2040-0004 <br />DISCHARGE MONITORING REPORT (OMR) ` <br />PERMIT NUMBER DISCHARGE NUMBER - FINAL GR FLD <br />MONITORING PERIOD IDERGROUND MINT T CR. <br />YEAR MO DAY YEAR MO DAY <br />FROM TO <br />NOTE: Rood Itntructicr» before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> <br />EX OF <br /> ANALYSIS TYPE <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT ... 6. 5 <br />; sr# <br />T <br /> REQUIREMENT MINI MUM mAX I MUM <br />7, )Tr- SAMPLE <br />r.ID) MEASUREMENT <br /> PERMIT ## # ;t t ### s c._ ?? <br />I; REQUIREMENT :)Dry f ;,+'_ i 1A i nJ T I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />3500 <br /> <br />.77 <br /> REQUIREMENT -?ODA DAILY MX !`.;:±IVT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT - # -# ### k#3tI? ! C` , ,_. <br /> REQUIREMENT r4s,f NAX ..i4T <br /> SAMPLE <br />i R EA I iiLN : MEASUREMENT <br />O i n 0 PERMIT n Ci RE.;' ##it ! Y I? <br />I . REQUIREMENT + I <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT REPORT v <br /> REQUIREMENT ; wST MAX <br /> SAMPLE <br /> MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 <ersne . r Penalty o h. that thh document and dl ¦Il.chments .ere TELEPHONE DATE <br />Prepared under my direction or rupe talon In ec ord.nre .IIh a tntrm deflrned <br />to as+ure that qualified personnel Property Sather.nd e•du.te the Information <br />A I <br />obmltted. s..ed nn my inquiry of IM person or peraora; .ho manage the rmati spirm, <br />? <br />o or (hove <br />ersons dl recur rriporpond bie for S.IheAn <br />the Information <br />the information <br />. <br />? <br />S <br />. <br />P <br />Lga,-4?- <br />to the beH of m <br />kntrwkd <br />t and bes <br />f <br />Eroe <br />t <br />b <br />ltted b <br />a <br />c <br />d <br />hl <br />y <br />S <br />w <br />m <br />, <br />r <br />. <br />. <br />c <br />vn <br />e, an <br />comp <br />e. <br />d <br />nlrkaat <br />EIGNAT PRE OF PRINCIPAL EXECUTW <br />1 <br />tl <br />t (h <br />re.t <br />e <br />dth <br />fo <br />bmltti <br />hb <br />I <br />f <br />d <br /> .m ...re <br />ls <br />e <br />e <br />t <br />p <br />n <br />s <br />r sr <br />nt <br />e <br />n <br />ormii <br />", AIEA <br />TYPED OR PRINTED Including the poeslDlhte or Mm, and Impr4aonnent for knowing elolatlorm OFFICER OR AUTHORIZED AGENT ODE NUMEIER <br />C YEAR MO DAY <br />COMMENTS AND EXPLANATION OF AMT VIVLA I Wrvs werersnce off srrscnmenu nsrs/ <br />.-RIOD REPORTED. OIL & GPEASE - SEE I. B. 1. C. TDS MONITORI <br />EPA Form 3320.1 (Rev. 3199) Previous editions may be used. )32(- TW& 1; a 4-pan form.