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PERMITTEE NAME/ADDRESS pw~ir4 Frdiy NaW Lxanm UDldw.,p
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<br />ADDRESS r+Iu,~ .Ir: ~f'rt+~t - .. "A; ?!
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<br />FACILITY
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM INPDES)
<br />DISCHARGE MONITORING REPORT /OMRI
<br />11-161 l17-I81
<br />:'700771.4 "'T7 3
<br />PERMIT NUMBER DISCHMOE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 'J ~- J ;, TO - I
<br />!2671/ l77-731 171-751 176-771 fIH-791 !30311
<br />Form Approved. y
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<br />NOTE: Raed Inetruetione bet ra eomplstinp this form.
<br />PARAMETER !3 Grd Onlyl QUANTTY OR LOADING !4 Grd Onlyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> l46-531 154611 /38-051 I4E531 154611 EX DF T
<br />l37-37I
<br />ANALVSs YPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lf7-631 !5(-581 16,¢701
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<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br />J: S U A L MEASUREMENT
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I cERnFr UNDER PENUtr of uW THAT I NAVE PERSONALLY ExAMWeD AND TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON
<br />
<br />Richard Mills MY INQUIRY OF THOSE INOINDUN.S IMMEDIATELY RESPONSIBLE FOfl
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<br />THE POSSIBILITY OF RNE AND IMPNSONMENT, SEE 15 U.S.C. 1 1001 AND 33 610NATURE OF PRINCIPAL EXECUTIVE
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<br />TYPED OR PRINTED .nOwmui=lun 4nplsrvnrlr orMwwnemondra rN6Yr'+.! OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIVLAIIVNS lRl/efenCe a//attsCDmenrs natal
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<br />EPA Form 3320.1 108-951 Pravloue edltlone may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE UBED.1 ~ ~ ^ r ,; /„ -- ~./ „ ~ _ T ^ T (` PAGE 1 OF
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