PERMFILE51367

• Permit No: C1981025
• IBM Index Class Name: Permit File
• Doc Date: 12/11/2001
• Section_Exhibit Name: Section C 3rd Q 1984 to 3rd Q 1985 Various Reports
• Media Type: D
• Archive: No

PERMITTEE NAME/AODR Ett l/ncl:'dr NATIONAL POLLUTANT DISC NARGE ELIMINATION 6YBTEM 1.\'POFS)
Pprrliry Namr /LOrarion r) drgrrenr) DISCNA RGE MONITORING REPORT (DMR)
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LOCATION FROM ., ~ 1 ! 1 TO .)
Form Approved
OMB No. 2L1~0-0015
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(! Card Only) QUANTITY OR LOADING (• Card Only) QUALITY OR CONCENTRATION

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AV ERAOE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITt 67dJ) (t•6E) 169.70)
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MEABUREMENT 265643
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NAME(i ITLE PRINCIPAL EXEGUTIYE OFFICER ' CERTIFY unpCR PEn•LTV OF LAw THAT I HAVE PERSOrvALLV E%AMINED
AND AM FAMILIAR WITH THE INFORMATION $UBMITTCD NEREIN
ANp BASED ~'
~' TELEPHONE D A T E
vale I
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pN MY INQUIRY OF THOSE INpVIDUAL$ IMMEDIATELY RESWNSIBLE FOR. _ ..---'--- ~
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Assistant General Manayer OBTAINING THE INFOTMATION. I BELrEVE THE SUBMITTED INFORMATION
5 TRUE ACCURATE AND COMPLETE I AM AWARE TNAT THERE ARE 51G
NKICANi PCNALTICS FOR SUBMITTING FALSE rNFORMATrON
INCLUpNG ~.~'
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THE POSSIBILRY OF FINE AND IMPRISONMENT. SEE IB USC. 1 1001 AND
3] USC S 1319
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PA.Form 3320.1 IRa~10-I9) PREVIOUS EDITION TO BE USED IREPLAC ES EPA FORM 1~ WHICM MAY NOT BE UBED.I
UNTIL SUPPLY IS E%HA UBTED
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