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<br />NATIONK POLLUTANT OISCNAROE ELIMINATION SYSTEM /NPDE$1
<br />DISCHARGE MONITORING REPORT IOMR1
<br />17-161 17-191
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<br />,y PERMIT NUMBER DISCHMGE NUMBER
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<br />~ MONITOR( PROD
<br />YEAR MO DAY - YEAR MO DAY
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<br />' l4 fird Onhl QUANTITY OR CONCENTRATION
<br />' Np, FREQUENCY SAMPLE
<br /> 146531 I5I-611 't '; 11 ~ ~
<br />/38-151 N6531 I51-6
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<br />r515
<br />TYPE
<br />/31-371 AVERAGE MAXIMUM NITS MINIMUM AVERAGE MAXIMUM ~
<br />UNITS' !sa-s!1 L
<br />/64681 /159-701
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<br /> MEASUREMENT
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<br />U S P E N D'C U MEASUREMENT -{
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<br /> MEASUREMENT
<br />OSUS 1 0 U PERMIT `1;=t3#4 ,:rfiY: riA., xkgl f;~>k'::,' ~; #### # 4RS T N"E/ :RAH
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<br />(A ii F F: ~ MEASUREMENT
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<br />ISSULYE!) MEASUREMENT
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<br />NAME/YITLE PRINCIPAL EXECUTNE OFFICER I CERTI Fr UNDER PENKTY OF uW THAT I HAVE PERSO
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<br /> AM fAMIUAR WITH THE INFORMATION SUBMITTE
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<br />Mr INQUIRY OF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOR
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<br /> TRUE. ACCUMTE ANO COMPLETE. 1 AM AWARE THAT THERE APE
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<br />THE POSSBIUTr OF RME AND IMPRISONMENT.' SEE IB U.S.C. F 100= AND 33 n n _ AK 7 7 1
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<br />TYPED OR PRINTED U.S.C. f 1318. lPwWMF utlw IMw FnnmF +nFY 4•rAK~ ~ • w ro f 10,000
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<br />OFFICER OR A HORIZED AGENT AREA
<br />CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Referents s// attachments here!
<br />S~rTLEAULE S7LID5 LI•.I1' APPLIES UyLY LF C= LJ-YR, 2U-9E PR.,Jlc ::Yt.1T 15 ^_L'1It"~L. IF CLAIp APFRJYEO ay
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<br />Y' FI r '1 1 4 1 - 1 _ ~~ ~~
<br />EPA Fwm 3320-1 108.95) Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 PAGE
<br />.ct 0115/970 254 1
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