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<br />NATIONAL POLLUTMT OISCHMGE EUMINATON SYSTEM INPDESI Form Approved.
<br />DISCHARGE MONITORING REPORT IDMRI , , ,. „ t I, „OMB-No. 2040-0004-~ ..
<br />1-161 17-191 ~ • •'N.. T A rov ,e ires.05-31-98
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<br />PERMIT NUMBER DI9CHMGE NUMBER _ r T T T .
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<br />MONITORING PERIOD '
<br />YEAR MO DAV YEAR MO DAV
<br />FROM ,'_ .1 TO u•l .I-• .,. ..:. ..n ..-, ,. ;;.o _.. ~I ~..:;
<br />l1Q111 121-131 !14151 116-171 118-191 /36311 `NOTE: Raad IneTruetloru befar ~a' F~~JIIL.ogt-•• plstin0 Thie lorm.
<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING /I Gni Only! QUANTITY OR CONCENTRATION ND, FREQUENCY SAMPLE
<br /> 146531 150-6/1 138-I51 14653) 154611
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<br />l31-371 M,ursls P
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !S1-e]I 16I-681 !53701
<br />P-. SAMPLE '.:k'k -': ::r ~x%:~-;:.;: .. ( 7 ~)
<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br />NAME/TITIE PRINCIPAL EXECUTIVE OFFlCER I CERTIFY UMDER PENUTY OF UW THAT I HAVE PERSONALLY EXAMINED MD TELEPHONE DATE
<br /> AM FAMILIM WITN THE INFORMATION SUBMITTED HEREIN; MD BASED ON
<br /> MY INOUIIIY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOP
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<br />i;ichard 11'iiiiS OBTNNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD ]] SIGNATURE OF PIIINCIPAL EXECUTNE
<br /> u.S.C. 1 t ]tP. lRN.le•• cater ens mtlma nor i.c/uy bins uP ro s 10,000 AREA
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<br />COMMENTS AND EXPLANATION Ur Anr viuLn I Iurva lnererence en emcnmsnrs oars!
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<br />EPA Fwm 3320.1 108.95) Previous editions may be used. IREPLACE6 EPA FORM T40 WHICH MAY HOT BE USED.) n . ~..c !' "I ^ 7 _ 7 ~ 1 .- PAGE - OF
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