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<br />NATIONAL POLLUTANT DISCNMGE ELIMINATION SYSTEM INPDES)
<br />DISCHARGE MONITORING REPORT !O RI
<br />11-f 61 /I7-191
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<br />PERMIT NUMBER DISCNMGE NUMBEN
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 9 'o TO ~? 1
<br />1161/1 l11-131 !14151 /16-17/ 118-191 /36311
<br />Form Approved.
<br />•, r , - ,. ~,OI~B~No; 2040-000A
<br />r ~ ~ A i es OS-31-98
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<br />PARAMETER 13 GrO On/yl QUANTITY OR LOADING !4 Grd Ontyl QUANTITY OR CONCENTRATION NG FREGUENCr SAMPLE
<br /> !66531 !54611 I3Bd51 !46531 154611 EX GF T
<br />131.371
<br />Mxrss YPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 167.6,71 /64681 !6%701
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<br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENUTY OF LAW THAT I HAVE PERSONALLY EXAMIN W MD TELEPHONE DATE
<br /> AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN: MD BASED ON
<br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOq
<br /> OBTAINING THE INFORMATIGN
<br />I BELIEVE THE SUBMITTED INFORMATION IS
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<br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INfORMATION
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<br />33 SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />TYPED OR PRINTED AM,r nxuinun inp/Aarwnt o/hwwn encneY.rM6r.rAl OFFICER OR AUTHORREO AGENT CODE NUMBER YEAR MO DAY
<br />GOMMEN 1 D ANV CAr'LPNn I IVn Ur ANT vlu~w I I Vna Irtererence ai arrecnmenrs Here/
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<br />EPq Form 3320-1 108-951 Pravloue edltlone mey be used. (REPLACES EPA FORM 7.40 WHICH MAY NOT BE USED./ „ _T i 7 ~ / Q 9 ~ 1, 7 -' _ 1 r ~ r PAGE OF
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