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PERMITTEE NAME/ADDRESS pnclude FnciliryNome/focarion i(Di(jerenn
<br />NAME ?EtAppER~lIINING, ]NC.
<br />ADDRESS[RAHPEH EfINE
<br />e.c. Box lei
<br />FACILITY C H A I G
<br />LOCATION
<br />CC Y1E[b
<br />A 'f 'IN: M. GOHDCh FFYERs. PFiES/GEh ?:;6
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<br />NATIONAL POLLUTANT DISGHARGE Efr ~
<br />j,1 (NPDES)
<br />DISCNARGE MONITORI
<br />(2461
<br />6r"l ~9)
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<br /> PERMIT NUMBER DISCHARGE NUMBER
<br /> MONITORING PERIOD
<br /> YEAR MO DAY YEAR MO DAY
<br />FROM Q ( C TO
<br />(20.21) (22.23) (2d-15) (2&27) (28"29) (30-3Q
<br />ForTiT Approved.
<br />OMB No. 20a0-twos
<br />!! I N L 5 Approval expires 05-31-98
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<br /> AEQUIRfiMENT. . ',..:_,..:'~ ~: ,- (
<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSO NALLY ExAMINED AND TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORM ATION SUBMITTED HERE IN; AND BASED ON MV
<br />_ INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON
<br />THE INFORMATION, I BELIEVE THE SUBMITTED IN SIBLE FOR OBTAINING
<br />FORMATION IS TRUE, ~~
<br />{1r. Gordon Peters ACCURATE AND COMP1EfE. I AM AWARE THAT TH
<br />PENALTIES FOR SUBMITTING FALSE INFORMATIO ERE ARE SIGNIFICAM
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<br />INCLUDING THE 70-824-4401 0 04 Z7
<br />President/General Elana eL ,
<br />POSSIBILITY OF FINE AND IMPRISONMENT. SEE IB U.S [.41001 AND 33 U.S.C.
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<br />COMMENTS AND E%PIANATION OF ANY VIOLATIONS (Re/erence all attachments here)
<br />~lLTLEABLE SCIIUS 11l1T t!AY PE IrAIY`eD FOB ~]CYA~~4hF PRECIF EYF64 - SEE AITEBNA7F I1C79111Ch`_ IELEF
<br />1.A.1.D, AND ALSO ELRCEN CF PROLE AE~,GIRECF.hTS UNCEF S.A.3. GIC & GREASE - SEE I.E.l.EC). it`_
<br />EPA tin ~ ^OS-95) rev ous editions may no be used. ` (A •E A H C A T C G C B C / G G C 11 1-1 G i 4 PAGE 1 OF /
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