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PARAMETER
<br />1 cemh trader penalty of law rant this anetmsem and all attachments were prepared under tat aneamn or
<br />super „s,n maccrdancen rh yaemdesignedm Fissure 1pprrooperlygathernnd
<br />1 t th mf t hat ft d B d nw r m at f the person or persons ho manage the
<br />sy g
<br />to stem or those persons hrectiv responsible for gathering the m the information submitted ts,
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<br />I t� n
<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 />Toxicity (chronic), Ceriodaphnia dubia
<br />61426 P 0
<br />See Comments
<br />SAMPLE
<br />MEASUREMENT
<br />, * „ **
<br />MMIDD/YYYY
<br />, „,„
<br />'-'—
<br />0
<br />01SC1A,RRC,E
<br />,,,,,,
<br />PERMIT
<br />REQUIREMENT
<br />*' *'”
<br />Req. Mon.
<br />MO AV MN
<br />* ""
<br />* *' *”
<br />tox chronic
<br />Twice Yearr
<br />GRAB - 3
<br />Toxicity (chronic), Ceriodaphnia dubia
<br />61426 S 0
<br />See Comments
<br />SAMPLE
<br />MEASUREMENT
<br />..,,,,
<br />,..,.
<br />,,,,,,
<br />__
<br />MO
<br />U) -SCWA
<br />,,,,,
<br />, „•,*
<br />PERMIT
<br />REQUIREMENT
<br />* "' "'
<br />Req. Mon.
<br />MN VALUE
<br />` * * * **
<br />tox chronic
<br />Twice Yearr
<br />GRAB -3
<br />Toxicity (chronic), Pimephales
<br />promelas (Fathead Minnow)
<br />61428 P 0
<br />See Comments
<br />SAMPLE
<br />MEASUREMENT
<br />__
<br />—
<br />NO
<br />DrSUR
<br />NR-Z.
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />MO AV MN
<br />tox chronic
<br />Twice Per
<br />Year
<br />GRAB - 3
<br />Toxicity (chronic), Pimephales
<br />promelas (Fathead Minnow)
<br />61428 S 0
<br />See Comments
<br />SAMPLE
<br />MEASUREMENT
<br />,,,.*
<br />_
<br />,,...,
<br />--
<br />f�l�
<br />Q ISCt'Vt�CitL
<br />PERMIT
<br />REQUIREMENT
<br />" ""
<br />Req. Mon.
<br />MN VALUE
<br />tox chronic
<br />Twice Per
<br />Year
<br />GRAB - 3
<br />% Effect Static Renewal 7Day Chronic
<br />Ceriodaphnia dubia
<br />TCP3B P 0
<br />See Comments
<br />SAMPLE
<br />MEASUREMENT
<br />_
<br />�+; * ++
<br />+ * ��
<br />—
<br />r.10
<br />b(SC!'���
<br />PERMIT
<br />REQUIREMENT
<br />` " "'"
<br />" ""
<br />Req. Mon.
<br />MO AV MN
<br />*•* * *”
<br />%
<br />Twice Per
<br />Year
<br />GRAB - 3
<br />% Effect Static Renewal 7Day Chronic
<br />Ceriodaphnia dubia
<br />TCP3B S 0
<br />See Comments
<br />SAMPLE
<br />MEASUREMENT
<br />_.
<br />NO
<br />D ISC4'�
<br />� � �
<br />.... *,
<br />PERMIT
<br />REQUIREMENT
<br />• *•` *•
<br />Req. Mon.
<br />MN VALUE
<br />`• * *'
<br />' * "••
<br />%
<br />Twice Per
<br />Year
<br />GRAB - 3
<br />%Effect Statre 7Day Chronic
<br />Pimephales
<br />TCP6C P 0
<br />See Comments
<br />SAMPLE
<br />MEASUREMENT
<br />-
<br />;f1. *+
<br />' �
<br />D 15 C►'�1
<br />-( t_
<br />**It***
<br />PERMIT
<br />REQUIREMENT
<br />Req. Mon.
<br />MO AV MN
<br />*` * *'
<br />%
<br />Twice Per
<br />Year
<br />GRAB - 3
<br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER
<br />1 cemh trader penalty of law rant this anetmsem and all attachments were prepared under tat aneamn or
<br />super „s,n maccrdancen rh yaemdesignedm Fissure 1pprrooperlygathernnd
<br />1 t th mf t hat ft d B d nw r m at f the person or persons ho manage the
<br />sy g
<br />to stem or those persons hrectiv responsible for gathering the m the information submitted ts,
<br />pcnnlh s f r su ngfalsemformahov mcludmg the poa i h t h,l,offine nnd mpn for kn w�
<br />I t� n
<br />�_
<br />-- TELEPHONE
<br />DATE
<br />/ _�--
<br />—.../1
<br />6 3
<br />X30 ^ ��
<br />U ( �� 20 /.3
<br />E +.
<br />R4r6E P
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<br />(
<br />A
<br />—'
<br />SIGNATURE
<br />S OF PRINCIPAL EXECUTIVE 0
<br />AUTHORIZED AGENT
<br />ICER OR
<br />AREA Code
<br />NUMBER
<br />MMIDD/YYYY
<br />TYPED OR PRINTED
<br />PERMITTEE NAME /ADDRESS (Include Facility Name/Locatron if Different)
<br />NAME: Chevron Mining Inc
<br />ADDRESS: 116 Inverness Dr E Ste 207
<br />Englewood, CO 80112
<br />FACILITY: EDNA MINE
<br />LOCATION: 26990 COLORADO HWY 131
<br />OAK CREEK, CO 80467
<br />ATTN Jim Tarazoff, Land Mgr
<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 />C00032638
<br />PERMIT NUMBER
<br />004 - X
<br />DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />MM /DD/YYYY
<br />07/01/2012
<br />MM /DD/YYYY
<br />12/31/2012
<br />TO
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />SEE I.A.4 FOR DETAILS OF TEST PROCEDURE. RPT LOWEST % AT WHICH STATISTICALLY SIGNIF DIFF BETWEEN TEST &CONTROL USING TEST CODE "S ". RPT IC25 USING TEST CODE "P ".
<br />DMR Mailing ZIP CODE: 80112
<br />MINOR
<br />ROUTT
<br />CHRONIC WET TESTING FOR 004A
<br />External Outfall
<br />Form Approved
<br />OMB No. 2040 -0004
<br />No Discharge
<br />07/30/2012 Page 1
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