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PERMITTEE NAMEIADDRESS (Include Facility Name/Location if Different) <br />NAME F30,11 (?I' RESOURCES <br />ADDRESS 90!41H NO. I MINES <br />C:I? <br />PA 0 N I A <br />FACILITY <br />r ?:} ztl t:0. <br />LOCATION F. s <br />PAON I A is <br />S'! S"" R 3ieS <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />G03??t(7?v; s Oy )2, <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />fib ! n:i3 FROM x u Q : o l, TO a E) C)`; <br />Form Approved. <br />OMB No. 2040-0004 <br />M I NOR <br />F -- FINAL DE L.': 0 <br />D I SCH Tn. STEVEN OUL C H <br />NOTE: Read Instructions before X-pleting 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 />P SAMPLE ii kt # ?3FiS 1 tiY bf i :b iu•>F #rrfiz { 12) <br /> MEASUREMENT <br />00400 1 0 O PERMIT <br />I>~7F1 077" I't p?Tns V AI I REQUIREMENT a k Ml 1 a'^9:{f;4, M r , +:€`-`44.9x1 1.3 U <br />ta"OI_.I.Ii__31_it ----- - SAMPLE Y•yaa• Fri?? t#! g3:?;c){ir C) -- - ------ <br />SUSPENDED MEASUREMENT <br /> PERMIT 5 <br />I. ?*?i ': 11! ?=s VA1..UTZ REQUIREMENT x?yl4 w f': Ch"'?C' ivlX a'n iryi'afi id10, L IMONTH <br />"OE_ T IDS Y -9 t SAMPLE a ?k ir3E 't; '? 3c 3€ rsS yrd# si 3i C 29 ) <br /> MEASUREMENT <br />CI 0 PERMIT <br />EFFLUENT GROSS t4ftL I-Uj: REQUIREMENT s fi 3S ? ° t •??+ '; Da'^'-, I9..,''!" 1?: <br />011- AND G'RE?,i,°rI«..' SAMPLE S? tni3E S?t ? ?s?xKl?r gi•3i,?•?• t si• ri i#di'i a 4s C ?? i <br /> MEASUREMENT <br />C O <br />G t°r P j PERMIT { ?r %f d X34 i i•* c°?3?si? a"c ry??# #•$?. ?C? { Oil, <br />. <br />EI".FIvUE:N. GROSS VALlllr' <br />REQUIREMENT; <br />#?#•3i )t <br />I ST" MAX <br />f'ik -YL. <br />;'') I <br />FL 010, a IN COi`'I).)ljKT OR SAMPLE { 01133 d s# t #r3rst? itz4 i N #3Yfi ??1ic#3E )i <br />9?4d t - T <br />?lT <br />9? <br />? I 1=31?"?!?" S?L <br />?"P <br />"('? MEASUREMENT f <br />, <br />. <br />t <br />t <br />900- s t} <br />PERMIT <br />`:' E' P <br />r ?'j r';3 <br />531 )# a4 I # <br />w fr3 & ' <br />3k `; <br />3E'rrr}: ' <br />4 <br />;"ls 9 " iyi O <br />?'-, h <br />EFFLUENT Gil 08S VALUE REQUIREMENT f"r tPS a=s` C) r ,r. '_ ' " VsX MW-D <br />#,«« <br />01-L AND GREASE SAMPLE Ss4$??xs? C 74) s?sE?#r'k? i+)E??1 F^)1 #`3i F)l,42i <br />V I UAL MEASUREMENT <br />¢ <br />O 9 <br />E PERMIT y L-Sw= :?# i# r . ^#E ea r^r c•F*-A*'I` i••:t••3 - r(r?E "'f <br />S v <br />EFrL.IJENT GROSS VALUE- REQUIREMENT <br /> SAMPLE <br /> MEASUREMENT <br /> PERMIT <br /> REQUIREMENT' <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were TELEPHONE DATE <br /> prepared under my direction or supervision in accordance with a system designed <br />/ i 1 1 0 nA a y3?. ? '°?i°r+• <br />C/'?' to assure that qualified personnel properly gather and evaluate the information <br />- submitted. Based on my inquiry of the person or persons who manage the system, ??. d . <br /> or those persons directly responsible for gathering the information, the information .C+[.v'?' <br /> <br />r <br />7 • 1 } ??,?,,. U <br />V <br />submitted is, to the best of my knowledge and belief, true, accurate, and complete.. <br />SIGNATURE OF PRINCIPAL EXECUTIVE ?,?,ry <br />J <br />TYPED OR PRINTED I am aware that there are significant penalties for submitting false information, <br />including the possibility of fine and imprisonment for knowing violations. <br />OFFICER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLAI ION5 (mererence an arracnmenrs nere) <br />S.E?? i LE ',T-,`Ai--LE •- SOI.?,ID L+ {9i" WAIVED (i fit}- Yea r' IfiP? ?'F? CiI ' EVENT tJ ?9 C1 TO BURDEN OF PROOF REQUIREMENTS Im <br />PART x. t3. rya. . ANY ADDITIONAL DATA SHALL. B SUPPLIED TO THE DIVrSIC"N WITHIN 4s 1^3(7;,Rs <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. Dr??;p !'?T=IffS71 ? !}_P??QIYp, PAGE 1OF