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PARAMETER <br />1 n an c pcn nr1 that this doeunnnt all attuuhm tents v'erc prepared under ms' direction nr <br />p ce h a a and n y, a p properly n a <br />ir r I r e i 4 I th P t h h <br />■ <br />, person, a l v hl r g rh s a m information submitted <br />putal fur olnly <br />submitting false rf mrwuon, including the possibility o f c.0 d imprisonment nme I rt significant; w / <br />r - <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />LC50 Statre 96HrAcute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />....•. <br />PERMIT <br />REQUIREMENT <br />100 <br />MN VALUE <br />••'••• <br />••••~ <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 n an c pcn nr1 that this doeunnnt all attuuhm tents v'erc prepared under ms' direction nr <br />p ce h a a and n y, a p properly n a <br />ir r I r e i 4 I th P t h h <br />■ <br />, person, a l v hl r g rh s a m information submitted <br />putal fur olnly <br />submitting false rf mrwuon, including the possibility o f c.0 d imprisonment nme I rt significant; w / <br />r - <br />1 j ' �[ / / A <br />a to !` i - / -rb -1 3-.1-c- . <br />TELEPHONE <br />DATE <br />/ 4Yle <br />J <br />Y/�( <br />GGG...+++!!!� "a. -D <br />1/ <br />:+-tJ„ <br />' r ` ► $ 1 <br />9 ?a — 9�t — <br />, <br />ry ®�, <br />M �D/YYYY <br />f <br />IGNATURE OF PRI IPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />Cold NUMBER <br />TYPED <br />T <br />R PRINTED <br />PERMITTEE NAME/ADDRESS (Include Facility Name /Location if Different) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset, CO 81434 -0535 <br />SANBORN CRK & ELK CRK MINES <br />3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />FACILITY: <br />LOCATION: <br />ATTN: James T. Cooper, EVP <br />EPA Forth 3320 -1 tRev.01 /06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />C00000132 <br />PERMIT NUMBER <br />015 -W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />04/01/2011 <br />MM /DD/YYYY <br />06/30/2011 <br />TO <br />DMR Mailing ZIP CODE: 81424 -0535 <br />MINOR <br />GUNIS <br />ACUTE WET TESTING FOR 015A <br />External Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge c t ( <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE IA.4A, PP 5 - 6 FOR DETAILS OFTEST PROCEDURE. REPORT LC50 - STATISTICAL PINT WSTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. <br />Page 1 <br />