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PERMITTEE NAMEIADDRE550.,i14, FacleryNaWLeranm dD~innr/
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<br />NATIONAL POLLUTMT DISCHMGE EUMINATON SYSTEM INPDESJ Form Approved.
<br />DISCHARGE MONITORING REPORT IDMRI -r n~,~-. ~• -•~~OM&N°: 2040-0004
<br />11-161 17-191 ~ '-
<br />°) 0 J ? 115 7 r)1 (•' • ~ ~ + ~ Approve! e(Cpirsc OS-31-98
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<br />YEAR MO DAY YEAR MO DAY __
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<br />l1P711 177-731 I?4-751 I76-I71 128-791 136371 NOTE: Reed InetrYCtlO/1e bsiora complatlnp tllle lorm.
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<br />NAMElFITLE PRINCIPAL EXECUTNE OFFICER I cERTI
<br />AM FA Fr uFIDEn vENKTr GF uw THwT I HAVE PERSONALLY ExAMINED MD
<br />MILIM WITH THE INFORMATION SUBMITTED HEREIN
<br />MO BASED ON
<br />~ TELEPHONE DATE
<br />E:ichard Mill:, ;
<br />OBTNN MUG THE INFORMATION, II^BELIEVE THE ESUBMITTED EINFORMATIONOIS
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<br />Gnvironment?( f;lanagERr TRUE, ACCUMTE MD COMPLETE. I AM AWME THAT THERE ME
<br />SIGNIFICMT PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />THE POSSIBILITY OF FINE MD IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD J7 BIONATURE OF P
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<br />EPA Form 3320 7 108 951 Pravloue edlDOne may be used. /REPLACES EPA FORM T40 WHICH MAY NOT BE USED.) ~ ~ ~ 7 .I /,I a C I, _ ] _ T ~ ] ~ PAGE , OF
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