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<br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM /NPDE$1
<br />DISCHARGE MONRORINO REPORT lOMR1
<br />7-I61 (17.19
<br />PERMIT NUMBER DISCHMGE NUMBDI
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM ~ ~/ Lt., ,) I TO <i 7 l ~ 1
<br />176711 l77-731 !74751 11617/ l78-191 !3637/
<br />Form Approved.
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<br />' ~ Approve/ expires OS-31.98
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<br /> (66-53 15461) ~ /38-66 !46.53 !5O-sl1 EX of
<br />l91-37I
<br />ANUrss TYPE
<br />- AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !F7-sal 161-681 /63701
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<br />NAMERITLE PRINGPAL EXECUTNE OFFICER I ceanFr uNDeR PENALTr DF
<br />AM FAMILIM WITH THE INFO uw THAT I NAVE PERSONALLr ExAMINED AND
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<br />G MY INDUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE F'OR
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<br />EPA Fam 3320.1 108-951 Previous editions mey he used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) PAGE OF
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