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PERMITTEE NAME;ADDRESS r6ah,drF«-iliA..%,u,ne2,non„n <br />NAME <br />CC'111i'ANY, LLC <br />ADDRESS 1 :ESE <br />WEST FIRST STREET <br />TRINIDAD rp <br />FACILITY 'JEW ELK 1'1I NE <br />LOCATION IJEST0 <br />'=RI?PI -E <br />PARAMETER <br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved. <br />DISCHARGE MONITORING REPORT (DAIR) OMB No. 20400004 <br />- <br />PERMIT NUMBER DISCHARGE NUMBER F F TNPI_ <br />81082 MONITORING PERIOD <br />YEAR MO DAY YEAR MO DAY <br />1?, ");y : FROM ?. TO <br />NOTE: Read Instructions before completing this form. <br />nt a ut.?-.. .. <br /> QUALITY OR CON CENTRATION NO. FREQUENCY SAMPLE <br />AVERAGE MAXIMUM UNITS - <br />MINIMUM AVERAGE MAXIMUM UNITS EX OF <br />ANALYSIS TYPE <br />SAMPLE <br />=IE6 MEASUREMENT <br />'. C) PERMIT <br />k <br />t*. n• <br />## I ? # <br />,~ >i # <br />R <br /> <br />?R __ REQUIREMENT EPORT <br />. <br /> <br />SAMPLE <br /> <br />MEASUREMENT :. # <br />PERMIT ti#>•s fi# ' <br /> ., i* REF`i <br />•i' i 3te k-s <br />i{ <br /> <br />L iJEfV t_= j VALtJ!- REQUIREM <br />N _ r <br /># <br />PE' <br />E <br />T <br />)LIDS, T•: ,L i : T i "ii ?•? I , it <br />1 <br />XIM: <br />SAMPLE <br />•. <br />-; USPEND E D <br />MEASUREMENT <br />0530 <br />1 PERMIT ###tttit t-t : <br />### <br />r :,x # <br />FFLI.JENT F'C75S VALUi REQUIREMEN t r r: I, - <br />T ??DA AV <br />SAMPLE Y r <br />MEASUREMENT <br />PERMIT ti it r # aFt # <br /> <br />^FFLUEPJ - =RDSEj V .. REQUIREMENT r = ; <br />LDW: I;V wCti'iI?UT i SAMPLE <br /> <br />THRU TREATMENT PLAT MEASUREMENT <br />0050 0 `) PERMIT REPRTRT R P7 <br /> <br />FFLUE?iT CROSS REQUIREMENT -SODA AVti <br />C L1L I SAMPLE t. ,_ tt <br />GENERAL MEASUREMENT <br />4.05 c <br />• PERMIT <br /> f <br /> <br />Rr({L REQUIREMENT ?• i <br /> , . 3arJA'Y C' C. <br />SAMPLE <br />MEASUREMENT <br />PERMIT r y R...-. <br /> yt li # v. #!r it## # it : <br />a # <br /> <br />_ REQUIREMENT . <br />x <br />; .t>L <br />NAMEMTLE PRINCIPAL EXECUTIVE OFFICER I eertin under penalty of law that this document and all <br />tt <br />h <br />a <br />ac <br />m <br />{ , / r^ I„ ,r,- y?l y prrparcl under my dirwion or supervision in accordance with a <br />?-r ; / / ?? .. , <br />l , >! <br />Y ? <br />l ents were <br />s%sicm designed <br /> <br />T <br /> <br />ELEPHONE <br /> <br /> <br />AT <br /> <br />E <br />? <br />- <br />to assure that qua <br />ified <br />personnel ptnperiv gather and cvaiuate th <br />submitted Ha_sed on my myutry of the persm Ur persons who ma <br />e mh ntauum <br />na <br />e th <br />s <br />t <br /> <br />or these Persons directly rcspon+iblc for gathenn <br />the <br />tb g <br />e <br />ys <br />em. <br />- <br />? <br />g <br />m <br />rmanr., <br />cuhnutted r, <br />to the best of m <br />knowl <br />d <br />d b <br />l n. the information <br />' <br /> <br />TYPE • <br />y <br />e <br />ge an <br />e <br />ief, true. accura <br />I dill aware that there are significant penalties ror submitti <br />f <br />l te, and complete. <br />i <br />f <br />SIGNATU <br />RE OF PRINCIPAL E <br />XEC <br />D OR PRINTED ng <br />a <br />se <br />mdudm <br />the <br />os <br />hitit <br />f f n <br />ormation. UTIVE <br /> <br />COMMENTS AND EXPLANATION OF ANY VIOL p <br />g <br />si <br />y o <br />ine and nnpnsonmcnt for knnwtng st <br />ATIONS (Reference all ulauons. OFFIC ER OR AUTHORIZED AGENT AREA <br />CODE <br />NUMBER <br />Y <br />EAR <br /> attachments here) MO DAY <br />r nvv. UUKSNtd PERIOD REPORTED. CI <br />_, _ used.