Laserfiche WebLink
PARAMETER <br />1 send under penalty of laws at d rs document and all attachments u.re prepared under my duavon or <br />, uprsvhonin accordance wnh:. v.. emoeshbmedto assure that qualified personnel properlygatherand <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 Statre 96Hr Acute Plmephales <br />TAN6C 1 0 <br />Effluent Gross <br />SAMPLE <br />MEASUREMENT <br />.. „.. <br />NUMBER <br />..a... <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />„. <br />....., <br />PERMIT <br />REQUIREMENT <br />`"”` <br />'a"aa <br />•"•'• <br />100 <br />MN VALUE <br />`a"'a <br />...•. <br />% <br />Quarterly <br />GRAB <br />N Ef it7LEPRINCIP • EXECUTIVE OFFICER <br />1 send under penalty of laws at d rs document and all attachments u.re prepared under my duavon or <br />, uprsvhonin accordance wnh:. v.. emoeshbmedto assure that qualified personnel properlygatherand <br />\ <br />{� r ( <br />TELEPHONE <br />DATE <br />, y, rar <br />.1/..., I...4W <br />I I <br />1 t the f b mm Based on my inquiry of the person or persons who manage the <br />syuem, or those parsons directly responsible for gathering the mf nu4 the m(umanon aubmrrtnd n. <br />the bent of ms knowledge and belief tine, wenn., and complete I am aware that there art shgnhfion <br />m siolatione for suhmnnng (Ise information. mdudmg We possibility of fine and hmpn>onmemt for k,w. <br />�a <br />� <br />�` SAC 6 <br />� v <br />1 <br />(/ <br />^ O ^ � / <br />IGNATURE OF PRI IPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA Code <br />NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERK 1TEE NAME/ADDRESS (Include Facility Name /Location if Different) <br />NAME: Oxbow Mining LLC <br />ADDRESS: PO Box 535 <br />Somerset, CO 81434 -0535 <br />FACILITY: <br />LOCATION: <br />SANBORN CRK & ELK CRK MINES <br />3737 HIGHWAY 133 <br />SOMERSET, CO 81434 <br />ATTN Jaynes T Cooper, EVP <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 />C00000132 <br />PERMIT NUMBER <br />015-W <br />DISCHARGE NUMBER <br />MONITORING PERIOD <br />MM /DD/YYYY <br />10/01/2012 <br />MM /DD/YYYY <br />12/31/2012 <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 <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.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 />11/09/2011 Page 1 <br />