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PERMITTEE NAME/ADDRESS pM101 FrlenNe.r/Eac.um dDld ~q
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<br />ADDRESS i+l ~ : ~.., i ~ ' I ,
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<br />FACILIN 1 1 1 .. .' ,_ i . I
<br />LOCATION
<br />NATIONAL POLLUTANT D19CHARGE ELIMINATION 9Y9TEM INf OGJI
<br />DISCHARGE MONITORING REPORT lOMRI
<br />11-161 I7-191
<br />PERMIT NUMBER OISCHMGE NUMBER
<br />' I MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ~ ~.. ~ ~ ) i TO ~' ? ; ~; ' Z
<br />/9/L911 I9D"911 /9L JF1 /f/LDTI OAJ41 /911111
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<br />PARAMETER !3 Ord only! QUANTITY OR LOADING !/ 6rd onryl QUANTITY OR CONCENTRATION NO. FAE°U~CY SAMPLE
<br /> lt653 150-67 !38-05 H5-53 !5461
<br />EX OF
<br />TYPE
<br />l32-371 ANALV99
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rsa~sal l60.8e1 169-701
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<br />NAMElI1TLE PRINCD'AL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIM WITH THE INFO LAW THAT I HAVE PERSONALLY EXAMINED AND J ~ I
<br />TELEPHONE
<br />RMATION SUeM1T7ED NEREIN: AND BASED ON
<br />/ / ~ ? -" ~' DATE
<br />\ Ml' WOUNIY OF TH09E INOINDUAL9 IMMEDIATELY RESPONSIBLE FOR /
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<br />THE P099&l1TY OF RNE N!D IMRU90NMENT. 9EE 1B U.9.C. 1 1001 AND as
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<br />COMMENTS AND E%PLANATION OF ANY v1DLA eons INererence ai srrecnmanrs nerel
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