HYDRO23019

• Permit No: C1994082
• IBM Index Class Name: Hydrology
• Doc Date: 10/19/1999
• Doc Name: 2nd Qtr 1999 DMRs
• Permit Index Doc Type: DMR’s
• Media Type: D
• Archive: No

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NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
DISCHARGE MONITORING REPORT (OMR OMB No. 2040-0004'.
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CCOOOCiil D14 L (SUEii NY) AoProval expires 05-31-9R
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NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY: E%AMINED AND
AM FAMILIAR WITH THE INFORMATION SUBMITTED
MY
E
D B TELEPHONE DATE
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IN; AN
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INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE.
ACCURATE AND COMPLETE. I AM AWARE THAT~THERE ARE SIGNIFICANT
PENALTIES FOR SUBMITTING FALSE INFORMATIO
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INCL
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POSSIBILITY OF FINE AND IMPgISONMENT. SEE 1a U.S.C. § 1001 AND 3J U S C.

SIGNATURE OF PRINS AL EXECUTIVE ~ f v
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TYPED OR PRINTED § 1319. IPeneaies antler Ihese sleruras may include Imes up ro 510.000 entl or
maximum rmpdsonmenr of Delween6months ends
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COMMENTS AND F>(PLANATION OF ANY VIOLATIONS (Re/erence all affachmenls here)
SEE PART I.A.4 FOR CfYAILS OF' TEST PROCEDURE. FELCRT L04E57 CILUTICLI rfY FFFLUEKT) iiRICB AS 1lTAAL TC SCE
OF TE'.ST ORCANI5R5 (1CSU) RFD ATTACH ACUTE TCFICITI TkST LTEPCBT PGi! TC CE R.
EPA Form 33261 (OSA5) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NO7 BE USED.) ~; ~: PAGE OF
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