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reHMITTEE NAME/ADDRESS (7~Yb F.ed,yNaWf<eana. yDye...d
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<br />NATIONAL POLLUTMT DISCHMGE ELIMINATON SYBTEM /NPOESI Form Approved.
<br />DISCNARGE MONITORING REPORT (OMRI - L
<br />l?-I61 /I7-is) - :~ I 1~. ,'~~ •!~•~OMB.Not 2040-DQ04 .1
<br />/ ~ , ,I ` ~~ ]~ ,~ (, I ~ .. .'. APProvei eKpir~ a 05-31-98
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<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
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<br />17611/ l22-131 I7I-251 /26-17I 119-191 /.YO-3// NOTE: Reed inetructiom befw~ oompletlnQ this form.
<br />PARAMETER /3 6,d Only) QUANTITY OR LOADING !I Card OnIF-I QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> 146531 /5461/ !3B-I5/ /46-53 I51-611 DF
<br />I3I-37/ E% MAirsls TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS re¢-sal /6t-6gl 169-701
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<br />NAMERITLE PRINCIPAL E%ECUTNE OFFICER I LERTI
<br />AM FA FY UNDER PENALTY OF LAW TNAT I HAVE PERBONALIY E%AMINEO MD
<br />MILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON ~ ~~"~
<br />- TELEPHONE DATE
<br /> MY INQUIRY OF THOBE INDIVIDUALB IMMEDIATELY ftESPONBIeLE fOR ~• L ~
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<br />~ OBTAINING THE INFORMATION, 1 BELIEVE THE BUBMITTED INFORMATION IB ~I
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<br />~ TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT TNERE ME
<br />SIGNIFICMT PENALTIEB FOR BUBMITTING FALBE INFORMATION
<br />INCLUDING l `_
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<br />THE POSBIBIUTY OF RNE MD IM%IIBONMENT. SEE 18 U.a.C. 1 1001 MO 3a
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<br />E SN)NATURE OF PRINCIPAL EXECUINE ~ 1 -
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<br />.oen,nsrim.n lleVlAdMlelt o/bwwremonrha rMbr.va/ OFFlCER OR AUTHORIZED ADEM AREA
<br />CODE HUMBER YEAR MO DAV
<br />COMMENTS AND E%PLANATION OF ANY VIOLATIONS lRe/enncs sll sttechmsnts here)
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<br />EPA Form 3320.1 108.951 Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 ,
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