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PERMITTEE NAMEiADDRF„SS ``brcfude Fact irs- Neimrd ocarion rJDi#erenu NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME j'r " V? - ! _^ DISCHARGE MONITORING REPORT (DMR) <br />_+,AL tF'F <br />ADDRESS TO CANYON MINT -i• <br />PERMIT NUMBER DISCHARGE NUMBER <br />N I DAD MONITORING PERIOD <br />FACILITY = NC I T O. CANYON I` YEAR MO DAY YEAR MO DAY <br />LOCATION TOn, FROM TO <br />.t.l t.r .. Tt.1Md? <br />Form Approved. <br />OMB No. 2040-0004 <br />[NOR <br />iUBR DK <br />- FINAL <br />ESCHARGE TO LORENCI <br />NOTE: Read Instructions before completing this form. <br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY <br />Of SAMPLE <br /> EX TYPE <br /> ANALYSIS <br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS <br />E r SAMPLE <br /> MEASUREMENT <br /> PERMIT <br />#+i <br />1.. <br />5 <br />6 <br />r-.. f^>sr z? <br />'._ <br />/C. %t'. i . <br />r• F ?N 1 ,R i =` L' REQUIREMENT :., <br /> <br />:DL I D5, TL'L"r SAMPLE 1 lr <br />SUSPENDED MEASUREMENT 1 1\, <br />)5 if) ? PERMIT N.y.*,. <br /> <br />FL_UFi'1IT '- VHLIii <br />REQUIREMENT <br /> <br />/ T f•: ; <br /> <br />J?11LT <br />0i T F171. <br />SAMPLE <br /> MEASUREMENT - <br /> PERMIT <br />:_UFNT GR<-15Q VAI-l.:- REQUIREMENT T <br /> SAMPLE I _ . <br />[ "I TALLY DISSOLVi MEASUREMENT \ \_/ <br /> PERMIT ' Rf'_PORT <br /> REQUIREMENT 31K).? AVG _ <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT = .k T ?? v i? sc it sc.K r. 1 n 17-IN <br />. r: <br /> REQUIREMENT <br />1 i [I< SAMPLE O ' r ir:-i Sri <br />AN <br />T RE MEASUREMENT <br />- PERMIT t -- T R,; t.?-i. <br />%L U; <br />REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT Hi <br /> REQUIREMENT <br />NAME,TITLE PRINCIPAL EXECUTIVE OFFICER I eernfj under penalty of law that this document and all attachments,sere TELEPHONE DATE <br /> prepared imiler my direction or superytsion in accordance ,sith it system designed <br />erl <br />ather and evaluate the mfornnuon <br />th <br />onn <br />l <br />ro <br />t <br />t <br />l <br />fi <br />d / <br />( (r ! •? <br />?G( <br /> y g <br />o assure <br />a <br />qua <br />e <br />p <br />p <br />i <br />e <br />pers . <br />- <br /> submitted Bused on my mqutry of the person or persons who manage the system, <br /> the infi?rmation <br />,able Im gathenng the information <br />er <br />ons directl <br />on <br />or those <br />res <br />- <br />GE ? . <br />y <br />p <br />s <br />p <br />- <br />l <br />t xt <br />'? ' <br />/ e <br />e. <br />submitted is, to the Mast of my knowledge and belief. true, accurate, and comp SIGNATURE OF PRINCIPAL EXECUTIVE 1 % <br />, <br /> I am aware that there are significant Penalties for submitting false information. OFFICER OR AUTHORIZED AGENT AR NUMBER YEAR MO DAY <br />TYPED OR PRINTED including the possibility of fine and tmpri-nment for knowing vmiauons CODE <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Rererence an arracnmenrs nere) <br />_CIP EVENT SUBJECT TO BURVEN OF PROOF REGVIREMENTS IN <br />F,<.• , -,t,4 ; TO THE DIVISION WITHIN 46 HOURS. <br />,This EPA Form 3320-1 (Rev. 3;99) Previous editions may be used. is 8 t'(y$iir171.