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<br />PERMITTEE NAME/ADDRESS (/tii,4 FanrgNa./facanm dDlB m7
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<br />FACILITY CYP KU~ tv1PIKt. (, LiRP~LATILN
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<br />- /NATI01iitLrYOeEbtiy.TnISDHARGEiuMINAnbN svsrEM INPDESI Form Approved.
<br />- - DISCHARGE MONITORING REPORT IDMR) O B No 2040-0004
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<br />rnnnz r J inn r ~ p~'ove~'d>fplrse 05-31-98
<br />' PERMIT NUMBER DI3CMMGE NUMBER ~LlOR Nn 114 J
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<br />MONITORING PERIOD !i I NUR
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<br />"-'FROM t)ij ~0. GL TD 4d 10 31 1"i'* Nl, UISC HAIL t,E x 'I"~~`
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<br />NAMERITLE PRINCIPAL EXECUTIVE:~OF.FICER'
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<br />AM'FA Fr DNOrR vENnLTr DF ut/r rHAT I HAVE PERSONULV ExAMINED AND
<br />H THE INFORMATION SUBMITTED HEAEIN; AND BASED ON
<br />MILrAA VJIT - - TELEPHONE DATE
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<br />MY INQUIRY OF THOSE.INDINDUALS IMMEDIATELY RESPONBIBLE FOR
<br />OBTNNING'THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />,IC. ` TRUE, ACCURATE AND COMRETE. f.AM. AWARE .THAT THERE ARE
<br />SIGNIFICANT PENALTIES FOR 9UBMITTIHO FALSE INFORMATION
<br />INCLUDING ~;
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<br />THE~POBBIBILITY OF RNE AND IMPRISONMENT. SEE t8 0.5.0. f 1001 AND 33
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<br />COMMENTS AND~EXPLANATION OF ANY VIOLATIONS (Reference ell ettschments here)
<br />.rLUENT yAt1Pl,E~ MUST dt CULLtCTtUs ANALYZtU L REE'URT~D "LLNThLY itcGARDLE~S JF tiNtlHtw AP: cFrL'J~.vT
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<br />EPA Fam 3320.1 108-951 PreVIOU! edmone mey bs used. (REPLACES EPA FORM Td0 WHICH MAV NOT BE USED.)
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