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PARAMETER <br />Icedin under penalty o u that this document attachmentswerepreparedundermt direcannor <br />supe n accordance ugh n system designed to assure that qualified personnel I properly gather and <br />r <br />I t t m f t bur n d H d v qt n' f th p pc h g th <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 />[AD <br />0 <br />- <br />,,,,,, <br />PERMIT <br />REQUIREMENT <br />* "* <br />Req. Mon. <br />MN VALUE <br />* * * * ** <br />tox chronic <br />Twice Per <br />Year <br />GRAB - 3 <br />Toxicity (chronic), Ceriodaphnia dubia <br />61426 S 0 <br />See Comments <br />SAMPLE <br />MEASUREMENT <br />, ,, , <br />** ,• <br />— <br />rt.0 <br />D15Ca-tiR-GE <br />— <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />MN VALUE <br />. *' " ** <br />tox chronic <br />Twice Per <br />Year <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 />* * *. *, <br />, *,,,, <br />""� <br />p1SCRG� <br />PERMIT <br />REQUIREMENT <br />* * * * *' <br />* *' " "* <br />* * **" <br />Req. Mon. <br />MN VALUE <br />**` * ** <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 />D <br />01SCA- <br />I;Q_.[ <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />MN VALUE <br />*` "" <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 />I`to <br />Disci-ern <br />LGE_ <br />PERMIT <br />REQUIREMENT <br />Req. Mon. <br />MN VALUE <br />' * * *`* <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 />, * * „• <br />,,,,,, <br />,...,, <br />D� C R �� <br />PERMIT <br />REQUIREMENT <br />* *`* <br />100 <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 />,,,.,. <br />r40 <br />IS C � <br />„,,,, <br />PERMIT <br />REQUIREMENT <br />'*' * ** <br />" " *` <br />" " *` <br />Req. Mon. <br />MN VALUE <br />% <br />Twice Per <br />Year <br />GRAB - 3 <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER <br />Icedin under penalty o u that this document attachmentswerepreparedundermt direcannor <br />supe n accordance ugh n system designed to assure that qualified personnel I properly gather and <br />r <br />I t t m f t bur n d H d v qt n' f th p pc h g th <br />"�. <br />TELEPHONE <br />DATE <br />•� <br />C) To � � <br />/I <br />v r 1 24/2m3 <br />,�}� d C <br />L A (P P ( F' R£S fp FAT - c o <br />i <br />system or those persons directly responsible for gnthenng the mlormnhnn the information submitted w <br />to the best afm, knowled a and belief tae Hate and com lete I am aware that there are st ,rican <br />',mines <br />'I t for submitting rase ,nrnrmmmn including the possibility of and imprisonment knowing <br />// �� <br />SIGNATURE OF PRINCIPAL EXECUTIVE OFFICER OR <br />AUTHORIZED AGENT <br />AREA code I NUMBER <br />MMIDD/YYYY <br />TYPED OR PRINTED <br />PERMITTEE NAME /ADDRESS (Include Facility Name/Location 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.01106) 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 />04Y -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 />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 X I <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here) <br />SEE I.A.4 FOR DETAILS OF TEST PROCEDURE. IF THERE IS A STAT DIFF RPTRESULTS ON THIS OUTFRALL. IF NOT,RPT "NO DISCHARGE" & COMPLETE OUTFALL 004X. RPT LOWEST % AT WHICH STATISTICALLY SIGNIF <br />DIFF BETWEEN TESTAND CONTROL USING TEST CODE "S ". RPT IC25 USING TEST CODE "P ". IWC =94 %. <br />07/30/2012 Page 1 <br />