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PARAMETER <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TypE <br />VALUE UNITS <br />VALUE <br />Toxicity, ceriodaphnia chronic <br />� <br />61426 P 0 TG <br />See Comments ZS rte' <br />SAMPLE <br />MEASUREMENT <br />.- <br />32 ' �� <br />..,... <br />t <br />�; <br />`-^r' k 6 <br />PERMIT <br />REQUIREMENT <br />....... <br />.•.'•. . _. <br />Req. Mon. <br />MO AV MN <br />"" "' <br />" " <br />lox chronic <br />Quarterly <br />GRAB- <br />Toxicity, ceriodaphnia chronic 6o f <br />-- <br />S 0 1-,?,e6. ' r <br />See C <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />5 O <br />®�® <br />PERMIT <br />REQUIREMENT <br />�� <br />Req. Mon. <br />MN VALUE <br />' " " - "" <br />MEM <br />lox chronic <br />Quarterly <br />• : <br />3 <br />Toxicity, pimepfia[es chronic F6 <br />61428 C P 0 45 �ewT h <br />See Comments ° I <br />See <br />SAMPLE ' <br />MEASUREMENT <br />...... <br />7 10 <br />- _... <br />ggMral <br />"7 -- <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />MO AV MN <br />tox chronic <br />Quarterly <br />GRAB <br />3 • <br />Toxicity, pimephales chronic ? <br />S 0 (per , <br />See Comments Comments q <br />SAMPLE <br />MEASUREMENT <br />100 <br />o <br />/ o <br />,1 <br />B <br />PERMIT <br />REQUIREMENT <br />- . <br />lox chrorr:c <br />Quarterly <br />GRAB <br />ood -i l l Sta Ic r re,, i 7Day Chronic <br />Crno�'aphru uL ia Ga <br />See ( P 0 — <br />S- C r mint ns %S S'''''''"/ ' - S'''''''"/ <br />SAMPLE <br />MEASUREMENT <br />_ <br />Y <br />� 2 � <br />' 0 <br />a <br />._�: <br />D <br />o <br />��� <br />, <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />MO AV MN <br />% <br />11111 <br />Quarterly <br />%Eff t Static R I o.a: 4 Day C hronic <br />C er =.h.�iaphnix rlra, a Gd <br />TC P iL 5 0 <br />Sc Comments 1 -'* Syrdi') <br />SAMPLE <br />MEASUREMENT <br />_ . <br />�, <br />4 C� <br />o <br />a <br />r. <br />_ . <br />PERMIT <br />REQUIREMENT <br />Req. Mon <br />MN VALUE <br />Quarterly <br />GRAB - 3 <br />'.•'. Ir I Statre 7Day Chronic r <br />Pnu.-rt i. las <br />t'1 P6 , P 0 <br />Set Tr �LZ7 Svrvi ✓.1 <br />n <br />SAMPLE <br />MEASUREMENT <br />PERMIT <br />REQUIREMENT <br />- --.. <br />- ,.,...._ <br />7 too <br />Req. Mon. <br />MO AV MN <br />.::,. <br />�� <br />Quarterly <br />GRAB -3 <br />7 <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Twentyttile (Cod! C.0 <br />ADDRESS: 29515 Pouit :::R 27 <br />C)xa Creek. (;) <br />FACILITY: FISH CREEK TIPPLE <br />LOCATION: 29515 ROU r ? ` COLINl Y ROAD #27 <br />OAK CREEK O <br />ATTN: JERRY N. NETTLETON. ENV SUPVSR <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />TYPED OR PRINTED <br />EPA Form 3320 -1 (Rev:01 /06) Previous ed:t ons may be used. <br />lots i f = ✓•p % o ra .tt11 <br />NATtONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />° l o G 4 5u rrr' ✓a DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />PERMIT NUMBER <br />MM /DD/YYYY <br />07/01/2011 <br />i <br />p 'hi.. f...ub.. d t t- Nurrz .,. a'� I n5 V...:. irr o. ��a. <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />TO <br />MM /DD/YYYY <br />09/30/2011 <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />DMR Mailing ZIP CODE: 80467 <br />MINOR <br />(SUBR JC) ROUTT <br />CHRONIC WET TESTING FOR 001A <br />External Outfall <br />Form Approved <br />OMB No, 2040 -0004 <br />No Discharger <br />TELEPHONE f DATE <br />970 3 Q 27ai le/ 2-t r <br />AREA Code ( NUMBER 1 MM/DDJYYYY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />Pa=il :)F PERMIT FOR DETAILS OF TEST PROCEDURE. RPT LOWEST %AT WHICH STAT!ST:CALLY SGNIF DIFFBTWN TEST & CONT USNG TEST CODE'''S RPT :C25 USNG TEST CODE'"P ".ATTACH CHRONIC TOX <br />T Esd EIPT TC R. <br />07/27/2011 Page 1 <br />