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PERMITTEE NAME/ADDRESS (IMWFrulryNaw/)ocaum llD/p....p
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<br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (OMRI
<br />12-161 _ 117-191
<br />CJO ~271~4 ~~~ ^
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM "" I1 J. TO " 1' i _
<br />/92011 /JJJiI tlL JSI /9R.J )I /JN-J91 13l}-ill
<br />Fonn APProved.
<br />• ~ t ~ ~ -. r~OMa.No:,20.40-0004, .
<br />• ,~ ~ ' I, Approval exp~!ae~05-31-98
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF
<br />MILIM WITH THE INFO LAW THAT I HAVE PERSO
<br />RMATION SUBMITTED H NALLY EXAMI
<br />EREIN; MD BA NED MD
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<br />OBTNNING 7NE INFORMATON, I BELIEVE THE SVBMITTED INFORMA TION IS
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<br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS /Reference sl/ sttechmenrs here/
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<br />EpA Form 3320.1 108-%1 Previous editions may be used. (REPLACES EPA FORM T-0O WNICN MAY NOT BE USED./ ~ ~ + ,t ~, ~ ,, ,,; n,! _ ! n , ~ PAGE , OF
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