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<br />FACILITY
<br />LOCATION
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT IDMRI
<br />l1-161 117-191
<br />:.7'72 X1]4 ~'r3 A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM v ' ,, TO ~ " l ~
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<br />Form Approved.
<br />~., nOMB~Non 2040-0004 ~ ..
<br />- ~Approvel azpirpe 05-31-98
<br />NOTE: Read InetrucUane before completing this Corm.
<br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING !I Grd Ontyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> /46531 !546'1/ 138-151 146531 !546/1 QF
<br />131-371 EX
<br />ANALYSIS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 162.63! (64661 l6
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE
<br /> AM FA MILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON
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<br />-'IT: i'Id rc: . ~ iii.i MY INQUIRY OF THOSE INDIVIDUN.S IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />ACCURATE AND COM0.ETE
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<br />EPA Form 3320.1 108.95) Prevloue edmone may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 „~ ~ ~ T / ~ „ ~ ,^ ~ ~ _ 1 0 T ;, PAGE . OF
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