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PARAMETER <br />l manly under penalty of law dna thu dowmnem and all ...men. were prepared anger my dneennn or <br />> ventsuninaawduaewnha> ystemdemgnedw Assure that qualified personnel properly gather ed <br />lust rh f ..au bm end fund on my inquu. oftha person or peewits who manage the <br />> or those persons dtnuly respnn.rble for gahenng the rnf uu,, the mhamanen >ubnu n, <br />m the ba nom k ,il ° ,4 g c arai 6d aucuratc, and corn lete I am aware dot 'WTI r r <br />larsuhmnnn false mf n n, rmluJtng me pus imltp nl r w a d a y 9 f« tnnw ng <br />Pe l atio a u <br />QUANTITY OR LOADING <br />QUALITY OR CONCENTRATION <br />an <br />z <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 />.IN... <br />..M.. <br />PERMIT <br />REQUIREMENT <br />IN«.. <br />••••M <br />...IN. <br />100 <br />MN VALUE <br />M.«. <br />Nye.. <br />Quarterly <br />GRAB <br />LC50 Statre 96Hr Acute Pimephales <br />TAN6C 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />••.IN. <br />•••• <br />PERMIT <br />REQUIREMENT <br />..ININ <br />.`..« <br />...«. <br />100 <br />MN VALUE <br />MINI,. <br />...... <br />% <br />Quarterly <br />GRAB <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER <br />l manly under penalty of law dna thu dowmnem and all ...men. were prepared anger my dneennn or <br />> ventsuninaawduaewnha> ystemdemgnedw Assure that qualified personnel properly gather ed <br />lust rh f ..au bm end fund on my inquu. oftha person or peewits who manage the <br />> or those persons dtnuly respnn.rble for gahenng the rnf uu,, the mhamanen >ubnu n, <br />m the ba nom k ,il ° ,4 g c arai 6d aucuratc, and corn lete I am aware dot 'WTI r r <br />larsuhmnnn false mf n n, rmluJtng me pus imltp nl r w a d a y 9 f« tnnw ng <br />Pe l atio a u <br />- <br />!f l' <br />TELEPHONE <br />DATE <br />r� tmes /yJ <br />7:- 41 Xa ht,, /I <br />!�1I <br />f .f . „40/ %A. h <br />qz� f AZ Y- < Vl <br />� /� /� �/L <br />T <br />MMIDD/YYYY I <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />Code I NUMBER <br />TYPED OR PRINTED V <br />PERMITTEE NAME/ADDRESS (Include Facility Name/Location if Different) <br />NAME: Trapper Mining Inc <br />ADDRESS: PO Box 187 <br />Craig, CO 81626 -0187 <br />FACILITY: <br />LOCATION: <br />TRAPPER MINE <br />6.5 MI SW OT TOWN ON STHWY13 <br />CRAIG, CO 81625 <br />ATTN: Jim M. Mattem, Pres /GM <br />EPA Form 3320 - 1 IRev.01 106I Previous editions may be used. <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />FROM <br />000032115 <br />PERMIT NUMBER <br />MONITORING PERIOD <br />MM/DD/YYYY <br />07/01/2012 <br />MM/DD/YYYY <br />09/30/2012 <br />021 -W <br />DISCHARGE NUMBER <br />TO <br />MOFAT <br />WEST TESTING FOR 021A <br />External Outfall <br />Form Approved <br />OMB No 2040-0004 <br />DMR Mailing ZIP CODE: 81626 - 0187 <br />MINOR <br />No Discharge. <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I A.5, PP. 6.8, FOR DETAILS OFTEST 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 NOTREQ'D, PUT NOT REQUIRED - SURFACERUNOFF ONLY" ON DMR. <br />07/13/2012 Page 1 <br />