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PERMITTEE NAME/ADDRESS (1Mrb FrWryNe•/L«auon dDrpr.nq
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<br />NATIONAL POLLUTANT DISCHMOE ELIMINATION SYSTEM INPDES)
<br />DISCHARGE MONITORING REPORT IOMRI
<br />7-161 /I7-191
<br />7n:7~~1 )~~ '1n!1 1
<br />PERMIT NUMBER DISCHNiGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM a ~ ~'-. 7 TO ~ 0'I
<br />174711 l77-131 17bI51 176-77/ 118-?91 !36311
<br />Form Approved.
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<br />~S , ., c „~ Approve' ytgireli OS-31-98
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<br />PARAMETER l3 Grd Onlyl QUANTITY OR LOADING !4 Grd Ontyl QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE
<br /> 146531 154-6'11 l38-451 !46531 154-611 DF
<br />l31-371
<br />AVERAGE
<br />MAXIMUM
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<br />MINIMUM
<br />AVERAGE
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<br />lea-631
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<br />!63701
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<br />(A 5 e ~ 3 MEASUREMENT
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<br />4;PFLUt,+NT „F'^?' 'r .A L!1 REQUIREMENT ##C~ 37C~ 114.^+ OSL'CY KX ":/L noar++
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<br />'PF'L'JENT GRASS VF.;''" REQUIREMENT I45T ':AX. NO=O
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<br />NAME/fITLE PRINCIPAL E7(ECUTR/E OFFICER I CERTIFY UNDER PENUTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON
<br />` TELEPHONE DATE
<br />tt
<br />Richard I:tl~~.ri ;
<br />OBTNNIQNORTHE XFORMATIONDINBEllEV3E NE SUBMETTEDENFORMATION~S g]0~9]Q-272 70 ~5 9R
<br />
<br />Environmental tRanager TRUE, ACCUMTE AND COMPLETE. I AM AWARE THAT THERE N1E
<br />SIOMIFICANT PENALTIES FOR SUBMITTINQ fAL3E INFORMATION
<br />INCLUDING
<br /> ,
<br />THE POSSIBILITY OF FINE ANO IMPRISONMENT. SEE 13 U.S.C. 1 1001 AND 3]
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<br />OFFICER OR AUTHORIZED AGENT AREA
<br />CODE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAV
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<br />EPA Form 3320-1 106-95) Prevloue edrtlone mey be used. (REPLACES EPA FORM T~LO WHICH MAY NOT BE USED.1 -
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