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PERMITTEE NAME-iADDRUS r/,clrale Fxifin A'ame lueulinn if Dill?temp NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />NAME .. /-- DISCHARGE MONITORING REPORT (DMR) <br />.,CIAL CCiMaANY, L <br />ADDRESS L,•;• ; TO CANYON M1NE <br />WEST LUVIJ{-.,rT-REFPERMIT NUMBER DISCHARGE NUMBER <br />141 DAD MONITORING PERIOD <br />FACILITY <br />c.I C i i G C AN'YON N, YEAR MO DAY YEAR MO DAY <br />LOCATION SON FROM TO <br />At rl Tuf7kfG 4: Il t. _ . <br /> <br />F - FINAL LANX <br />TO U-NNND Tf%1B TO FUR A'IDIRE RV <br />NOTE: Read Instructions before completinq 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 /> SAMPLE <br /> MEASUREMENT <br />t' PERMIT <br /> REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br />`1dJr' PERMIT # 1 * . > 1?'r #'t #a3 ff '?*fl "r 1 4 <br />FF1 LI_)F i Y i REQUIREMENT fi t' :3QU?; (tV G i)A ? ('? <br />` SAMPLE ` =. <br /> MEASUREMENT r, ) <br /> PERMIT <br />V F=. , --; REQUIREMENT <br /> SAMPLE <br />r.'?l i ; fti?L. r L 1 ` ; . ' • MEASUREMENT <br />i C. r PERMIT <br />- _ , ti -i,l ; (;•4j0 rCC REQUIREMENT ?J <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT <br />i) T SAMPLE G 3 i sr f! r <br />iv7 PL(- " MEASUREMENT <br />J (J PERMIT REPi_ r.' r#" z :i # is f} f jI7^tci <br />GPOSS VAI. l <br />U ENT REQUIREMENT <br />;jry 1!_ j c <br />F,h1i! SAMPLE <br />) <br />?4 <br />'tI MEASUREMENT <br /> PERMIT #? it R b'(}Rl 1. =j xuil'rn:t ##it#??4 t #T s !! ;.:' *r".'AL, <br /> REQUIREMENT <br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER I cerid'y under Penalty of law that this d cumrn7 and all attnchmcmc were TELEPHONE DATE <br /> prepared under m? dtrcction or wtpertsurn in accordance with a .}stem devgnyd <br />m a_asure that yuahhed peronnel Properly gether and e%aluate the infxmation , <br />/ submitted- Pa_sed tin my inquiry of the Perwn or pcron-% who manage the ,y stem. <br />'- or throe persons diruttly responsible for gathering the information, the information <br />r <br />r" submits d is <br />to tFk best of my knee ledge and belief <br />accumtc. and yomplete. <br />true '? • - '? ' % , <br /> , <br />. <br />, <br />I am aware that there are si <br />nificant penalties for submitting take mforman,-n SIGNATURE OF PRINCIPAL EXECUTIVE <br /> <br />TYPED OR PRINTED g <br />including the possibility of fine and nnpns mmcnt liar knowing a lat,nns OFFICER OR AUTHORIZED AGENT AREA <br />CODE NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />EPA Form 3320-1 (Rev. 3(99) Previous editions may be used. 1,bi-, - 8 4-ptiri- fen-n. PAGE OF