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RMITTEE NAME/ADDRESS <br />AME: MOUNTAIN COAL COMPANY, LLC <br />DDRESS: WEST ELK MINE <br />P.O. BOX 591 <br />SOMERSET CO 81434 <br />ACI LITY: <br />OCATION: <br />,TTN• FI I~FNF F DICLAUDIO. PRESIDENT. <br />PARAMETER <br />050 STATRE 48HR ACU <br />)APHNIA MAGNA <br />~AM3C 1 0 0 <br />.FFLUENT GROSS VALUE <br />-050 STATRE 96HR ACU <br />'IMEPHALES <br />AN6C 1 0 0 <br />.FFLUENT GROSS VALUE <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />AVERAGE <br />**,t**~~ <br />w*****~* <br />SAMPLE <br />MEASUREMENT <br />`::PEf2NiIT`: ;';`: <br />SAMPLE <br />MEASUREMENT <br />::: PERNEtT;;; E;'. <br />SAMPLE <br />MEASUREMENT <br />P'Ef2lliSkT <br />SAMPLE <br />MEASUREMENT <br />SAMPLE <br />MEASUREMENT <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) <br />DISCHARGE MONITORING REPORT (DMR) <br />017 W ACUTE WET TESTING FOR 0 17A <br />000038776 <br />PERMIT NUMBER DISCHARGE NUMBER (SUBR WC) 12345 <br /> F -FINAL <br />MONITORING PERIOD MINOR <br />FROM 08 ~ 01 101 TO 08 I 03 131 NO DISCHARGE Q <br /> NOTE: Read instructions before completing this form . <br />QUALITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY SAMPLE <br /> EX or- TYPE <br />MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNIT ANALYSIS <br />******** ~~** 100 *,.*r«~*'" '`'`""**"` (23) 0 QTRLY GRAB <br />.. . <br />L1 01••:::':::::'::x <br />'; ~.:'•:'`:'. <br />:;::~ ::::::::::,.~,,~k~r"«:::::::::;: ,.,,~« ;:::::NIN:VAEIIE :::::::::::::::.::::::::::: ::::::! ; ;:;:; ;:; ; , ; ;:; ; ::: PE ....,.•.• ...... . <br /> <br /> ******~* **`~ 100 '`*""*"'`* *"'`*"**" (23) 0 QTRLY GRAB <br /> <br /> ::1CM©~1 <br />~~~~~~ .... <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />........... <br />. <br />. <br />. <br />. <br />1..... <br />. <br />, <br />..Q <br />, <br /> <br />:1111~l:1fAtLU~..... , <br />....:. . <br />. <br />. . <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />. <br />.............:.::. <br />..... • <br />. <br />• <br />. . • <br />• <br />i ,- <br />is i- <br />i?. <br />... ~ <br />I <br />_ I i <br />::::::: P .......... ............................................:.:.:.:.:.:.:::.:.:.:. ::::::::::;:;:::::;:;::::::::::::::::;:;:::;:;:;:::;:;:;:;:;:;::::::;::;:;:;:;:;:;:;:;:;:;:::;;:;:::::;:;: <br />:::: <br />N.L, ; : ;, :; :: ::: :::::::::: :: ~;;;:::;:;, <br />R E......... <br />R~.Q ..............._L;....J•...................I • •~ "~I J <br />- TELEPHONE D A T E <br />NAME /TITLE PRINCIPAL EXECUTIVE OFFICER Icrsn'ru~'vwn,Rrrrvm;rr ur Ln\v"Itl,crnuxwsonllsrv'r arvo nLL,crrncuARVNrs e'RRh rrtra•n¢rsn 11NUR¢An'uul RCrloN <br />UII SUI`I;Iit'ICIUN IN A('l:(IR I)nNl'~ \\'1'1.11 .\ Cl"5'1'IiAI I1ftIUNl~.1)'I'U AGCIIRI~.'I'llnl" VII,\I.IRifl) I'f.NSUNNI'.1. I'NUI'1i111.1 Un'I III~,II <br />,\NIl I~.V,\I.1 i,tl'R.'I'IIP. INI'URAI,\tIUN SI IIIAiI'I-1 R.U. IIncRll UN Ail" INUIIIIt I" Ut I'I11~: 1'I~.II%UN UI( 1`I~.IISUNR \\'lIU AIANn(if 1'I II'. <br />Cl'C'I"IiAI, Ult IIIUFf. I'f•.li[UNC Vllti:l;ll'I.l' IIf.SfUNSll11 I'. I~UR ll.\'fIII+RINU'1'1II'. INI~I11tAlA I'il rN.'I'I II'.INI~IIRAIn'l1UN GI111A11'I-1 RIl p <br />I rn nlr °I sr r n ANUxI I,Ixll. nNl i l l II L'1'NPIC ,\CUIµAI'I. ANI ~ nlrl.rre. 1 nnl mvnaR. rnnl ruenh nnR SIGNATURE OF PRINCI AL EXECUTIVE g7p g29-5015 OU 04 29 <br />Pete W ckoff clfNIIICAN'IIINnIlItc1URF111A1I111N1:t\IC11N1UItAlAiRIN.INUIUUIM1(-(III I SCIIIII111 fl1`II'.,\NI IAII'NISVNAiINI <br />,. ,RANO\\w vnn.mn'"s' OFFICER OR AUTHORIZED AGENT AREA CODE NUMBER YEAR MO DAY <br />TYPED OR PRINTED Forms by WindowChem(707)9B4-0845;p/n11080;v5.0;1/1/BB <br />COMMENT AND EXPLANATION OF ANY VIOLATIONS See Reports (Reference all attachments here) <br />SEE I.B.3, PP 9-12, FOR DETAILS OF TEST PROCEDURE. REPORT LC50 - STATISTICAL POINT ESTIMATE WHICH IS LETHAL TO 50% OF THE TEST ORGANISMS, AND ATTACH ACUTE TOXICITY <br />TEST REPORT FORM TO DMR. COPIES OF ALL INFORMATION MUST BE SENT TO EPA. Copies attached (4 reports). 00145/980409-1716 PAGE 1 OF 1 <br />