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<br />NATIONAL POLLUTMT DISCHMGE ELIMINATION SYSTEM /NPDES)
<br />DISCHARGE MONITORING REPORT IDMRI
<br />l1-16) 17-J91
<br />PERMIT NUMBER pISCHMGE MVMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ', i i ;' " ; TO U 7 %'
<br />1767/1 l77-231 !7416/ 176171 128-791 !34311
<br />Form Approved.
<br />', i ~; t _ , ., .~ c ~! ON~B No. 2040-0004
<br />,- ~ ~ Approval expires OS-31-98
<br />NOTE: Reed Inetructlar before completlnp this fam.
<br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !4 Grd On/yl QUANTITY OR CONCENTRATION NO, rREOUENCY SAMPLE
<br /> !46531 !5451/ 138-451 146-531 15481
<br />EX OF
<br />TYPE
<br />/37-371 MALYSIS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 161-ssl !6468/ 169-)Ol
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<br />NAMElI1TLE PRINCIPAL EXECUTNE OFFICER I cERn
<br />AM FA Fr UNDER PENALTY of
<br />MILIM WITH THE INFO uW THAT I HAVE PERSONALLY EXAMINED MD
<br />RMATION SUBMITTED HEREIN; MD GAGED OM TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />~. . , ~ ~ ' ~~ , _ ~ : ,, OBTAINING THE INF011MATION, I BELIEVE THE SUBMITTED INFORMATION IS ~ ~
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<br />_ TRUE. ACCUMTE MD COMRETE. I MA AWME THAT THERE ME
<br />SIGNIFCMT PENALTIES FOR SUBMITTING FAIRE INFORMATION
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<br />I . r ,\ THE POSSIBILITY OF RNE MD IMPRISONMENT. SEE 18 U.S.C. f 1001 MD ]] SIGNATURE Of PRINCIPAL EXECUTIVE '1 l '
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<br /> U.S.C. F 1 ]10. (RFnAkY. uM~r tlw« MAm. nrv McprJ~ fires. :9 ro !!0,000 AREA
<br />TYPED OR PRINTED ArM nm.xh+rAn bwrnrlnwrr orbw«namanN. And6 wra/ OFflCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Re/erence all sttschmenrs hsiel
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