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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDESI
<br />DISCHARGE MONITORING REPORT lOMR1
<br />11-I61 ! I J-791
<br />In
<br />^ PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM ~ I TO r I ~ .~
<br />lIP7I1 111-231 /I~-351 176-7 J1 /IB-791 !3631/
<br />Form Approved.
<br />B No. X040-0004
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<br />PARAMETER l3 Ord Dnty) QUANTITY OR LOADING !d Grd Onlrl QUANTITY OR CONCENTRATION NO. FREpUENCY SAMPLE
<br /> !46.531 l6I-6l 138-151 l~6-63I 151-67I DF
<br />l31-37I EX
<br />ANALVSIs TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !e7-e]1 l6F681 169-701
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<br />NAME/TITLE PRINCIPAL EXECVi1VE OFFICER I CERTIFYUNDER PENMTY OF UW THAT 1 HAVE PERSONALLY E%AMINED MID TELEPHONE DATE
<br /> AM FAMILI/JI WITH THE INFORMATION SUBMITTED HEREIN: AND BASED ON
<br /> MY INQUIRY OF TNDBE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br /> OBTMNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
<br /> TRUE. ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE
<br /> SIGNIFCANT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING
<br /> ,
<br />THE POSSIBILITY OF RNE AND IMPNSONMFNT. SEE IB U.S.C. 1 1001 AND ]]
<br />1 gIONATURE OF PRINCIPAL EXECUTIVE
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<br />A For 20- 1 •95 P e ' ue'e iCbh ay d. '~ -I !ACES EPA FORM TAO WHICH MAY NOT BE USED.1 PAGE OF
<br />'D567/97!Shcli-153 1
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