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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SVSTEM (NPOES) Form Approved.
<br />DISCHARGE MONITORING REPORT (OMR1 OMB No. 2040-0004
<br />(2a6) (n-9) ,~,7O-
<br />1 , 17 (' ) Approval expires OS-31-98
<br />' PERMIT NUMBER DISCHARGE NUMBER - ~ I ,~ ^ I
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<br />YEAR MO DAY YEAR MO DAY _
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<br />PARAMETER (46-53) (54-61) (35-45) (46-53) (54-61) EX OF TYPE
<br />(32-37J AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />f5a60) ANALYSIS
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<br />(69-70
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<br />Richard !?1115 PERMIT
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%PMINED AND TELEPHONE DATE
<br /> AM FAMILIAR WRH THE INFORM ATION SUBMITTED HEREIN; AND BASED ON MY
<br /> INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE. ~ ~
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<br />Larry Tln.
<br />ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICANT //
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />POSSIBILRY OF FINE AND IMPRISONMENT. SEE 18 U S.C. § 1001 AND 33 U S G
<br />(Penalties untler these sutules ma
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<br />EPA Form 3320-1 (08-95) Previous editions may nol be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) tl ., . / , . 1 _ _. _ ~
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