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PERMITTEE NAME/ADDRESS pncfude Faci/iry Nmne/LOCanon ifDignmq
<br />NAME ;-TPRUS TA'IPA VALLEY :'DAL COHP,
<br />ADDRESSryIME` 1r 2:3 Sn(1TR, E ~.F.MAN PR
<br />9100 E45T' '~IyFFlPf.^[4^.LF.
<br />FACILITY °NGLEi 1~0 r0 90155
<br />LOCATFON
<br />ATT'i; !!ORBIT d. +P;I.FT, ^~:1~RAL ATNT
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES)
<br />DISCHARGE MONITORING REPORT (OMR~
<br />lzael !1r- 91
<br />^10'1977 S' r\M ~
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM !F rl 0 ] ')1 TO n ^ ~ l ' 1
<br />(44411 l22-23) (2445) !462)1 R6-191 (36311
<br />',.L ~'l`
<br />Form Approved.
<br />OMB No. 2040-0004
<br />'" T '• -~ ~ Approval expires 05-01-98
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<br />NAME/TITLE PRINCIPAL IXECUTNE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSO
<br />ATION SUBMITTED HERE NALLY E%AMINED AND
<br />IN; ANO BASED ON MY
<br />^ TELEPHONE DATE
<br />
<br />
<br />RlclTard Mills
<br />INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE, ~~ ~~
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<br />PENALTIES FOR SUBMITPN I AM AWARE THAT THERE ARE SIGNIFICANT
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<br />POSSIBILITY OF FlNE AND IMPR
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<br />SEE 16 U.S.C. § 1001 AND 33 U.S.C.
<br />utle fines up fo Ef0
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence ell atrachmenls here)
<br />SELr I.:i.•a FOR TP.ST pROCEDORE. RPT 3FSIIf.T.; Jf L?Ti(RLZ'"T !1FAiTYA~rr7yG p 1r~croF•.-TOE C,,..~,m., r p?Pgr)DUCTI'tN
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<br />EPA Form 332o-1 (0B-95) Previous editions may not be used. (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED.) ' ~" '
<br />00114/'iT n'~1 ?-1`711 F'P:GE`~i 'bF
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