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PERMITTEE NAME/ADDRESS PiwL4 FslbryNwWLxanm pOlpnarJ
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<br />ADDRESS "tI N c S ) , r ~ - ;.I.p ~ ~ ~ c. .• ~ •1 4 r, u v
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<br />FACILITY
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCNAROE ELIMINATON SYSTEM (NPOES)
<br />DISCHARGE MONITORING REPORT (OMRI
<br />/]- f e/ / 7-/91
<br />"i0~27154 0'lv e
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM ' J TO ;1 '
<br />!]6]fl tl]J31 /]4]51 !]G]71 /]H-]91 /36311
<br />Form Approved.
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<br />(^ ,. ,, ~ , . ~ Approval expims OS-31-98
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<br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING /1 Grd Onlyl QUANTITY OR CONCENTRATION NQ FAEOUENCY SAMPLE
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<br />ANALYSIS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS IF]-e51 (5/-5Bl !64701
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERT FY UNDER PENALTY OF L AW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE
<br /> AM FA MILIAR WITH THE INFOI UTATON SUBMITTED HEREIN: AND BASED ON
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<br />ichard '14IIIs
<br />P MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION
<br />I BELIEVE THE SUBMITTED INFORMATION IS ~/
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<br />nvironl~ental P4ana~?r ,
<br />TRUE. ACCUMTE AND COM0.ETE. I AM AWARE THAT THERE ARE
<br />SIGNINCANT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING ~
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<br />, 970 S7O-?71. ~ ~ 2C SE
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<br />THE POSSIBILITY OF FNE AND IMPNSONMENT. SEE 13 U.S.C. 1 1001 AND 55 BIONATURE OF PRINCIPAL EXECUTIVE
<br /> U.S.C. ! 1518. //MWe•• Wr ewe •hNM1• nrr IrreM-W rvM• y ro S 10,000
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<br />CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANr v1DLA I lens Inererence sn attacnmsnrs nary/
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