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PERMITTEE NAME/ADDRESS pnaL6irmry NnWl,rulon dDrpnun)
<br />NAME ~YI'~![I' v.^•, -- .. .. :{D•
<br />ADDRESS ~ I ~' - • ~' _ ' / ., .. n
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<br />FACILITY
<br />LOCATION
<br />... '".'144'- ( -r,-vF ,. •.gaJ Em,l •r
<br />NATIONAL POLLUTMT DISCHMOE ELIMINATON SYSTEM (NPDESI
<br />DISCHARGE MONITORING REPORT lOMRI
<br />l7-161 117-191
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<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM '' TO u ~ n -I r
<br />136111 122-231 !74751 /16371 118-191 !30.31/
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<br />Form Approved.
<br />r.IOMB; No„ 2040-000.4
<br />ApD~ovel expires 05-31-98
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<br />NOTE: Raad Instruetioru ba}ora poDlpletlnp this farm.
<br />PARAMETER 13 6rd On/yl QUANTITY OR LOADING H 6rd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> 46531 154-61 138-451 !4653 !546/1 EX DF
<br />137-371
<br />MALY515 TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS IsI-sal 15q-58J 189-701
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<br /> MEASUREMENT
<br />"aJU 1 '; PERMIT x#{rRZS ;kh,'ett# p :~:~ 5•S ;tfwts:s-: •i~f` I vcEty '~eu
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<br />;LIDS, ~;, °TL;:A5LF. SAMPLE #Y~Rrr3 .. ~rY. .~;,r.--~~- ( ?,~
<br /> MEASUREMENT
<br />:~`l5u`i P :1 ) PERMIT :ktYr.'t G#OtG+kyi L .^-.'. ?O#### P!?I?fa?T R>'F'!RT 1 LICE/ :FIAA
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<br />~iLICiY $ETPL°S ILF SAMPLE ,:cx Y~ ,. ... '.: -F •4 ~#:.w{: ( nc~
<br /> MEASUREMENT
<br />.. L: :US 1 D D PERMIT ?~4X#7 44,K94 ^' .. c {t^w.z Rrr~~~~n ^•i l .ar•^~ .yl~:
<br />, '+LU£NT 6ROS5 Y'p. [. I)s REQUIREMENT
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<br />IFi'L7r:4T :" ~, 'l4LU~ REQUIREMENT 30DA AY; DACLY :ry MGD
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED MD TELEPHONE DATE
<br /> AM FA MIUM WITH THE INFORMATON SUBMITTED HEREIN: MD BASED ON
<br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />rc ~111~~5 OBTNNINO THE INF011MATION, I BEl1EVE THE SUBMITTED INFORMATION IS /I
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<br />' TRUE. ACCURATE MD COMPLETE. I AM AWME THAT THERE ME
<br />SIGNIFICANT PENALTIES FOR SUBMITTNO FALSE INFORMATION
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<br />Grlvil
<br />Q*Ime~tal ,
<br />THEPOSSIBILITYOFHNEMDIMPNSONMENT
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<br />EPA Form 3320-1 108-951 Prevloue adltrone may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 (+ -, ~ ~ ,/ / n , „ ~ n ~ - 1 ,+ ~ PAGE ~ OF
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