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<br />PER E/ADDRESS (Include Facil+ry Name2ncanon i/DBnmQ RATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
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<br />~, 4TInN DISCHARGE MONITORING REPORT (DMR
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<br />... OMB No. 2040-0004
<br />ADDR , .-
<br />. , APProval expires OS31-98
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<br />FACILITY C is t;) `~ ` ~', ~i l ~' 2 F MONITORING PERIOD ro-^
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<br />LOCATION YEAR MO DAY YEAR MO DAY
<br /> FROM 9o n0 91 TO ~n nr, ,~ ,. ,. r: ..~ ,•erul( 1•~P § .•.,. •.
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<br />4 ~." T h : A : `; 0 k F ~ L' e , r ~ e, - n tiatn lzz~23! l24~zs) Re-nl Re~zsl t7031J leting this form.
<br />NOTE: Read Instructions bef
<br /> (3 Card Onry) QUANTITY OR LO G (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER (46-53J (54-61) (3845) (4B-53) (5a-61) EX OF TYPE I
<br />(32.37)
<br />AVERAGE
<br />MAXIMUM
<br />.NITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
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<br />rnm/ q/VgLYS/5
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<br />(ease)
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<br />69-70
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<br />V I :i L' R L MEASUREMENT 7
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON MV TELEPHONE DATE
<br />
<br />Richard Ml l is ;
<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
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<br />
<br />Hnvlronmental Mana
<br />er THE INFORMATON. I BELIEVE THE SUBMITTED INFORMATON IS TRUE,
<br />ACCURATE AND COMPLETE
<br />I AM AWARE THAT THERE ARE SIGNIFICAM /
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<br />POSSIBILffV OF FINE AND IMPRISONMENT. SEE 1B U.S C. § 1001 AND ~ U.S.C.
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<br />SIGNATURE OF PRINCIPAL EXECUTIVE
<br />TYPED OR PRINTED s lures up ro 5/0,000 em1 a
<br />marimuml~n~anmar~i( of between e~montrtv entl Su
<br />pn years) OFFICER OR AUTHORIZED AGENT
<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re7erence all attachments here)
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<br />EP7[ Form 3320.1 (08.95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF
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