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<br />FACILITY
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<br />NATIONAL POLLUTANT DISCHARGE ELMINATON SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (OMR;
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<br />Form Approved.
<br />„ n ~ „ ~ OMB No. 21}40-0064
<br />Approval expires OS31-98
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM
<br />INQUIRY OF THOSE INDNIDUAL
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<br />F:nvlronmental 'Rana er PENALTES FOR SUBMITPN G FALSE INFORMATI ON, INCLUDING THE _ .
<br />POSSIBILITY OF FINE AND IMPR ISONMENT. SEE 18 U S. C.4 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />EPA Form 3320.7 (0&95) (REPLACES~EPA FORM 7-40 WHICH MAY NOT BE USED.)
<br />Previous editions may not be used. ~~ ,t ~! [ T / 9 T n 41 ~-1 c 711 PAGE I OF
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