PERMITTEE NAME/ADDRESS O+eLJr s.oWry Naw//smlm I/DIlfwv~p
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<br />ADDRESS ROn USICE `'Ih F., N & S PORTALS
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<br />DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
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<br />I7Q711 127-731 !II-I51 /I6771 II8-191 !36311
<br />EGrm~Approved.
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER 1 cERnFY uNDeR PENALTr of
<br />AM FAMILIM WITH THE INFO LAw THAT I HAVE PERSONALLY ExAMINED MD
<br />RMATION SUBMITTED HEREIN; MD eASED ON TELEPHONE DATE
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<br />~ MY INQUIRY OF THOSE INDIYIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />SIGNIFICMT PENALTIES FOR SUBMITTING FQSE INFORMATION
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<br />THE Po64BNTY OF NNE MD IMPRISONMENT. SEE 13 U.S.C. 1 1001 MD 33
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<br />dIONATURE OF PRINCIPAL EXECI/TIVE
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<br />COMMENTS AND EXPLANATION UH ANY vtULA I IUnS Ide/ermce ui srtscnmenn nets!
<br />iLiIS OUTPAL'L i5 NOT ELIGIBLE FOR EXEBPTLONS F'R014 TOTAL S;15PEND6C SOLI L5 (T55), 40TAL IRON AND/UR
<br />~cTTLEABLE SOLIDS LId1TATI0NS - SEE I.A. 2.
<br />EPA Form 3320-1 108.961 Previous editions mey be used. (REPLACES EPA FORM T~0 WHICM MAY NOT BE USED.( C C 34 2 / 9 8 C 2 2 3-125 b PAGE I OF
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