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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDES) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMRI - .~ OMB No, 20 -0004
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<br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY Of LAW THAT 1 HAVE PERSONALLY EXAMINED AND TELEPHONE DATE
<br /> AM FA MILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED OM "
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<br />MY INOUIM OF THOSE INDINOUALS IMMEDIATELY RESPONSIBLE FOR
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<br />, OBTNNING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION 15
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<br />ACCUMTE AND COMPLETE
<br />I AM AWARE THAT THERE ARE /
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<br />SIONIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />EPA Form 3320-1 (08.951 Previous editions mey ba used. (REPLACES EPA FORM TalO WHICH MAY NOT BE USED.) (` 3 j I / , ~ _ _ PACE I OF
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