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<br />DISCHARGE MONITORING REPORT (OMR~ ~ ~ ~ OMB NO. 204o-IXX14
<br />(z-rsr nz- el Approval expires OS31-98
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<br />NAME/TITLE PRINCIPAL IXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFORM LAW THAT I HAVE PERSONALLY EJUMINEO AND
<br />ATION SUBMrrTED HEREIN; AND BASED ON MY /~ TELEPHONE DATE
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<br />I:)(:Il r]fC( M)IIc INQUIRY OF THOSE INDNIOUAL
<br />THE INFORMATION, I BELIEV S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMrI'TED INFORMATION IS TRUE,
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<br />COMMENTS AND EXPLANATION OF ANY VIOLAI IONS (Hererence err anecnments nere)
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<br />EPA Form 332x1 (OB-95) Previous editions mey not be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) ~ n T ~ ~ ~ ~ i ~ L ~ ?_ 1 ~ ~ u PAGE T OF
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