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PERM ITTEE NAME/ADDRESS (Include Facility Name/Location fDifjerent) , <br />NAME <br />ADDRESS HAYDEN GULCH LOADCJ)'T <br />6l.fidid3LlAI S1't dli{>.'S €.;13 8011-77 <br />FACILITY HAYDEN L.ElA ".,OU7 <br />LOCATION HAYDEN O 81 639 <br />A'hT"CAB - . E+"iwi%t '..r '" ! 3911`,7 uhf. F"ttF?1+3M d T'F`i'~ <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved: <br />OMB No. 2040-000¢i ;DISCHARGE MONITORING REPORT (DMR) MINOR <br />r.-ngi:R ".()oLiR r),- to (SURR t}C t <br />PERMIT NUMBER DISCHARGE NUMBER F F I NAL RDfOT7 <br />MONITORING PERIOD t'etr,ai Si,'weJ ltd SJ1- 4R!'?%Ff^)i`!3°txt <br />YEAR MO DAY YEAR MO DAY <br />FROM , a.1 Q» TO ,t,V t1'; U I rr NO DiSCHARE3E IV <br />NOTE: Read Instructions before comoletina 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 />PH SAMPLE 3I ?E 3? 4 # =? # N 4 :F ? 'F r? 34 zY?i 't ( 12) <br /> MEASUREMENT <br />00400 1 C' 0 PERMIT ti 3E#z a ? sf 1 ? is# ?I ### ?1. 5 17. 0 .WICE/ 3RA <br />EFFLUEN'T' GROSS VALUE REQUIREMENT 1114 1 t°;UM i" 4:" X; ; r°lk jm SLI MONTH <br />. tr"1i_ I Ea`c•, TO -CAL <br />SAMPLE <br />xt : i! ## <br />3f #4t 3f §d <br /># st 3x # <t <br />t 19) <br />SUSPENDED MEASUREMENT <br />005;110 i I.f G PERMIT it ?f#3t # ## ryr3?it X 36## #it It## 3t -135 0 ' 'FW1CE/ rf%A£ <br />EFFLUENT GROSS VALUE REQUIREMENT ?t #3t x 30DA AV" L1F-j i t.. ''; Swi g: MC-- MONTH <br />SOLIDS, S`r.T N AIFL.F SAMPLE tF##4a #8i r 0 Xif # # #?? # ( 25) <br /> MEASUREMENT <br />00545 1 0 0 PERMIT .}i•*a *:3•* ?:?•?3ia# )i #?3t 3f?if# t? REPORT 0. r !-WIC's I DIRAB <br />EF'FLUEN'T GROSS VALUE REQUIREMENT .3017A AV(,? DA TI.._Y NX Kf-,.'L. MONTH <br />I RON SAMPLE a'.E a sEdi sf X33 ,t # 3r ## s4 # i5 ?x 3t # ' 3Pif 4 2O } <br />T13TAL RECOVERABLE MEASUREMENT <br />00980 1 C? . PERMIT 3i sS :d# # t## sl # # 1+ # sS # tk # a ] (?t}Ci ?E }F ?E •21 ii # if C Lt` ?RftL? <br />EFFLUENT GROSS VALUE REQUIREMENT ri't #4t 30DA AYO t Ci- '._ MONTH <br />OIL_ AND GRlo:A1,-* SAMPLE ?#s}x'r3E tS :3 ir•ti.? { is F 3f ti.#sf#f # u ? st?# 4 19) <br /> MEASUREMENT <br />'a PERMIT. •sr -##31.9i• 3i• 36 ?t•yi •:i• ##•ii• #•a••iFtiF?{•-sf• :r4i1*#•il•••'sra• 10 -? i :GNT 1N ARAB <br />EFFLUENT GROSS VALUE REQUIREMENT ai zt it # DA x L- v f iX. t1G i l_ GENT <br />FLOW, IN C17I`•ou T (33-x: SAMPLE t 43} ##sk# 3i st 'z ?#### #si # li#si <br />THRU TREATMENT PLA(-43 MEASUREMENT <br />50050 1 (.i 0 PERMIT R.1 PORT' REPORT CONTIN iCURDR. <br />EFFLUENT GROSS VALUE REQUIREMENT GDA AVG %sl? I L_Y Jqx Mts1) <br />:t 3E ri <br />tJt7L35 <br /> <br />AL_. <br />SOLIDS, TO <br />SAMPLE <br /># x ?i <br />; : : 3F# Sh <br />:t # a <br />{ 1 } <br />9 <br />DISSOLVED MEASUREMENT. <br />70295 1 ( 0 PERMIT REPORT REPORT t 3TRL 4 BRAD <br />EFFLUENT' GROSS VAL.U1 REQUIREMENT tt ?#it 3G??A AVG ?'',F+II., ' M?( t?iG; L <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were <br />d <br />d <br />di <br />ti <br />i <br />i <br />i <br />rd <br />i <br />h <br />i <br />d <br />d TELEPHON E DATE <br /> prepare <br />un <br />er my <br />rec <br />on or superv <br />on <br />n acco <br />ance w <br />t <br />a system <br />gne <br />s <br />es <br /> 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, <br /> or those persons directly responsible for gathering the information, the information ` <br /> submitted is, to the best of my knowledge and belief, true, accurate, and complete. <br />I am aware that there are significant <br />enalties for submitting false information SIGN TURF OF PRINCIPAL EXECUTIVE <br />TUR IJ , <br /> <br />TYPED OR PRINTED p <br />, <br />including the possibility of fine and imprisonment for knowing violations. OF <br />OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />YEAR <br />MO <br />DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference alt attachments here) <br />EE"I7#._FABLE SOLIDS LIMITS WAIVED FOR 10--YR, 24 HR PRE'CIP EVENT SUBJECT TO BURDEN OF PROOF REQUIREMENTS IN <br />PART I. II. ANY ADDITIONAL DATA SHALL. LE SUPPLIED TO THE DIVISION WITHIN 43 HOU'RS. <br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. 002 57 / tis,ist8 4-17A form. PAGE I OF