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<br />NATIONAL POLLUTANT DISCNAROE ELIMINATION SYSTEM NVI UtJ/
<br />DISCHARGE MONITORING REPORT (DMRI
<br />Z-161 17-191
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MON170RING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM ~; ~' ! TO - ~.
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<br />AM@ No; 2040-0004+,
<br />Approval ejrpirpe 031-98
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<br />NAMElTRLE PRINCIPAL EXECVTNE OFFICER I cERn
<br />AM FA Fr UNDER PENN.rr GF
<br />MIUM WITH THE INFO uw TNAT 1 NAVE PERSDNAUY F%AMINED MD
<br />RMATION SUBMITTED HEREIN; MD BASED ON j ~
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<br />SIGNINCMT PENALTIES FOR .
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<br />I I~~ THE POSSIe1LITY OF RNE MD IMPWSONMENT. SEE tB U.9.C. E 1001 MD 3J IONATURE Of PRNYdPAI EXECUTNE ~ 7~ -
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<br />COMMENTS AND EXPLANA Z ION uF ArvT vwLA I was Irtverence an srtscnmenrs oars/
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<br />EPA Foils 3320.7 ~ 088 1 Pie3idue editions may ba ubdd. ' ' r /REPLACES EPA'FtlRM T~0 WNICN MAY NOT 8E USED) ,. -) , / .~ , , - PAGE ~ OF
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