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PERMITT[[ NAM[ ADDREBB (Inrlud/ NATIONAL POLLUTANT DISC NARGE ELIMINATION BYBT[M (NPDES)
<br />F•clllty NRIIM /L9cot/iR Y Ilprnnf) ~ DISCHARGE MONITORING REPORT (DMR)
<br />r~~-- SNUWt~A53 CIIAI. (`f++TUllhiP.`;f1~a f1+ M !2-!sl (17481
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<br />CAf1HON\/AI-f _----- ~ PERMIT NUMBER OI[CHARO[NUMe[R
<br />----CU R1~23 '-------- '
<br />---- --------------- MONITORING PERIOD
<br />~(rJ61.T1•--~-~ YEAR MO DAY YEAR MO OAT
<br />LOCI/TION ---------------- FROM (,('~ 0 ( ri 1 TQ f{5 U 3 ~ ~i 1 '
<br />*!'NO DISCITARGE**
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<br /> (J Card Only) QUANTITY OR LOADING (1 Card Only) OU ALITY OR CONCENTRATION Fp CDUCMQY
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<br />(16-JJ) .(1761)
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<br />NAM[/TITL[ PRINCIPAL [%[CUTIV[ OPFIC[R I CERNFY UNDER PENALTY OF LI1N THAT I NAV[ PERBOMALLY EFAMIN[O
<br />AND AM FAMILIAR WITH TN[ INFORMATON BUBMITT[D HEREIN
<br />AND BARED
<br />' TELEPHONE D A T [
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<br /> OM MY INQUIRY OF TNOBE INDVIDUALS IMMEDAT[LY R[rIBI151BL[ FOR
<br />
<br />Scott Jonea OBYAINING THE INFORMATON. 1 BLLIEVE TN[ SUBMITT[D INFORMATION
<br />IB TRUE. ACCURATE AND EOMPLEFL. I AM AWARE THAT THERE ARE BIG
<br />NIFICAM PENALTICS FOR BUBATING FALS[ INFORMATON
<br />INCLIIdNG
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<br />•, 'r ^~ ' y ~ •`/~~
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<br />Bm/ironmental Engineer .
<br />THE POB IBILRY OF FINE wND IMPR60NMENT. BEE IB U.BC. 1 IDOI AND
<br />JJ UBC 11319
<br />lPrnalvr wdrr Nrr .bngr mrY in[Idr /InrF
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<br />009 SIGNATURE OF 0 INCIPAL E%ECUTIVE 303 963-344 85 OS O1
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