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PARAMETER <br />1 certify antler penalty of law Nat system document end all attachments that qualified were prepared under rl direction n a <br />aupmu,w wawondao flax ac yammden gn fiedpetno <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />X. <br />FREQUENCY <br />OF ANALYSIS <br />SAMPLE <br />VALUE <br />VALUE <br />UNITS <br />VALUE <br />VALUE <br />VALUE <br />UNITS <br />Cerro Static Renewal 48Hr Acute <br />Cenodaphrna dubia <br />TAM3B 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />M M/DDmYY <br />I <br />, /00 <br />v I <br />/ <br />lJ <br />Y?a <br />/ n / <br />(�/VT(, <br />PERMIT <br />REQUIREMENT <br />"""" <br />100.0001 <br />MN VALUE <br />•" "•• <br />'""'• <br />% <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />/ �l� <br />L/ <br />/� <br />r J <br />1 QO <br />,.) <br />/ <br />PERMIT <br />REQUIREMENT <br />""" <br />""" " "" <br />100.0001 <br />MN VALUE <br />""" <br />""•"" <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />1 certify antler penalty of law Nat system document end all attachments that qualified were prepared under rl direction n a <br />aupmu,w wawondao flax ac yammden gn fiedpetno <br />/; � C`/ _ <br />� / <br />/ <br />TELEPHONE <br />DATE <br />T <br />?`y <br />�p /� <br />/ r," / 4o f f e m <br />5 • CL n / <br />,/j� q r <br />f r <br />al tc N f 1 bm tied Based on my inquiry of the person or persona who manage the <br />system, b or of k dv « responsible for u rat enn o ple I am the etomuuon a e mgm d u. <br />to the best those se knowledge dge arty r belief, we accurate and complete I am aware that there are nutt tat <br />p enalties for submnung false mformauon, mchdmg the posstbthty of fine and imprisonment f know mg <br />lat <br />I , ` 4' / <br />Cf / <br />/ / / ) 2V <br />U <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />\ <br />Cods <br />NUMBER <br />M M/DDmYY <br />I <br />TYPED OR P <br />R INT <br />v I <br />PERMITTEE NAME/ADDRESS (Include Factl/ty Name/Location //Different) <br />NAME: Trapper Mining Inc <br />ADDRESS: PO Box 187 <br />Craig, CO 81626 -0187 <br />FACILITY: <br />TRAPPER MINE <br />LOCATION: 6.5 MI SW OT TOWN ON ST HWY 13 <br />CRAIG, CO 81625 <br />ATTN Jim M. Mattem, Pres /GM <br />EPA Form 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 />C00032115 <br />PERMIT NUMBER <br />017 - W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />10/01/2011 <br />MM /DD/YYYY <br />12/31/2011 <br />TO <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />MOFAT <br />ACUTE WET TESTING FOR 017 A <br />Extemal Outfall <br />Form Approved <br />OMB No. 2040-0004 <br />No Discharge <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.5, PP. 6-8 FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH ISLETHAL TO 50% OF TEST ORGANISMS, AND ATTACH ACUTE TOXICITY TEST REPORT FORM TO DMR. WHEN <br />WET TESTING NOT REQ'D, PUT NOT REQUIRED - SURFACE RUNOFF ONLY" ON DMR <br />06/02/2011 Page 1 <br />