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<br />NATIONAL POLLUTANT DISCHMOE ELIMINATON SYSTEM l1VPDE'Sl
<br />DISCHARGE MONITORING REPORT lOMRI
<br />lI-161 17-191
<br />PERMIT NUMBER DISCHMGE NUMBER
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<br />YEAR MO DAY YEAR MO DAY
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<br />!161/1 l11-131 !14151 116171 l28-191 !34311
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is]-sJ! 154-581 169-70I
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDER PENALTY OF L AW THAT I HAVE PERSONALLY E%AMINED MD TELEPHONE DATE
<br /> AM FA MILIM WITH THE INFO RMATION SUBMITTED HEREIN; µD BASED ON
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<br />J?ichard '1111$ MY INOUIIIY OF TXOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br /> OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS
<br />environmental Agana er
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<br />SIGNIFIDMT PENALTIES FOR SUBMITTNO FALSE INFORMATION
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<br />THE POSSIBILITY OF RNE µD IMPRISONMENT. SEE 1B U.S.C. 1 1001 µD 77
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<br />BIONATURE OF PRINCIPAL EXECUTNE ` 9FJ
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<br />COMMENTS AND EXPLANATION OF ANY VIOLA71on5 IRelerencs all effschmen fs hBiel -
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<br />EPA Form 3320-1 108-951 Prevloue edltlons mey be Geed. (REPLACES EPA FORM T<O WNICH MAY NOT BE USED.) ~ ~~ , T /~ t n,t ; ^_ 1 n ~ •~ PAGE ~ OF
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