PERMITTEE NAME/ADDRESS pMib frr9ryNadL«anm l/D15innp
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<br />NATIONAL POLLUTANT DI9CMMOE ELIMINATON SY9TEM /NPDESI
<br />DISCHARGE MONRORINO REPORT /OMRI
<br />l7-15/ 17-19I
<br />_00032115 C07 A
<br />PERMIT NUMBER DISCNMGE MUMBEII
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM - ' U TO
<br />l16I11 lZ1-731 lII-I51 /I8-I7/ 178-I9/ !3631/
<br />Form Approved.
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY uNDfR PENALTY of uw THAT I NAVE PERSOr+uLV ExAMINED MD
<br />R+ FAMILIM WITH THE INFORMATION 9UBMITTED HEREIN; AND BASED ON
<br />A ~ TELEPHONE DATE
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<br />MY INQUIRY OF TN09E INpIVIDUALS IMMEDIATELY RE9PON91BLf fOR
<br />I BELIEVE THE 9UBMITTED INFORMATION 19
<br />OBTNNING THE INFORMATON ~/ / ~ ~/~ /L~
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<br />{~. Gordon Peters ,
<br />TRUE. ACCI/MTE MD COMPLETE. 1 AM AWME THAT ?HERE ME
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