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PARAMETER <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />„o ordancewrthas , f ,.ed tv assurethalquahtieaperso s elp opertygatherand <br />a t the mforma4ou submitted B ase d on m mqurry ofthe person or persons who manage the <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />NO. <br />EX <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />TYPE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />LC50 Static Renewal 48Hr Acute <br />Ceriodaphnia dubia <br />TAM3B 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />* *** ** <br />*** * *. <br />** ** ** <br />PERMIT <br />REQUIREMENT <br />*** * ** <br />* * * * ** <br />100 <br />MN VALUE <br />* *** ** <br />* * * *** <br />a/o <br />Semiannual <br />GRAB -3 <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />— <br />* * * * ** <br />— <br />* * * * ** <br />* ** * ** <br />* * * *.. <br />PERMIT <br />REQUIREMENT <br />*** * ** <br />100 <br />MN VALUE <br />* ****• <br />* * * *** <br />% <br />Semiannual <br />GRAB -3 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICE <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />„o ordancewrthas , f ,.ed tv assurethalquahtieaperso s elp opertygatherand <br />a t the mforma4ou submitted B ase d on m mqurry ofthe person or persons who manage the <br />1 <br />....) <br />TELEPHONE DATE <br />970 864 7590 01/23/2012 <br />Thomas D. Fry <br />system, or those persons directly responsible for gathering the information, the information submitted rs, <br />to the best of my knowledge and belief, true, accurate, and complete Ian, aware that th gn f t <br />penalties <br />vi lations or submrthng false mfomtaLOn, including the possibility Diane and rmpnaamnenttrinowmg <br />,o <br />S IGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />A REA Coda I NUMBER ' MM /DDIYYYY <br />� <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name /Location if Different) <br />NAME: Western Fuels - Colorado LLC <br />ADDRESS: PO Box 628 <br />Nucla, CO 81424 -0628 <br />FACILITY: <br />LOCATION: <br />NEW HORIZON MINE <br />27646 W 5 AVE <br />NUCLA, CO 81424 <br />ATTN• R LANCE WADE, MINE MGR <br />EPA Fomi 3320 -1 (Rev 01/06) Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />000000213 <br />PERMIT NUMBER <br />010 -W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />07/01/2011 <br />MM/DD/YYYY <br />12/31/2011 <br />TO <br />DMR Mailing ZIP CODE: 81424 -0628 <br />MINOR <br />(SUBR MH) MNTRS <br />ACUTE WET TESTING FOR 010A <br />External Outfall <br />06/16/2011 <br />Form Approved <br />OMB No 2040 -0004 <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE PART I.A.4 FOR DETAILS OF TEST PROCEDURE REPORT LOWEST DILUTION (% EFFLUENT) WHICH IS LETHAT TO50% OF TEST ORGANISMS (LC50) AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR <br />Page 1 <br />