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PERMITTEE NAME/ADDRESS /lnd,e. FrWryNadLranw dDr~irrnq
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<br />FACILITY
<br />LOCATION
<br />NATIONAL POLLUTMT DISCHMOE ELIMINATION SYBTEM (NPDFSI
<br />DISCHARGE MONITORING REPORT IDMRI
<br />11-I5I 17-191
<br />^179^7 i-''i ^,'17 v
<br />PERMIT NUMBER OISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM 'f ~' TO 'I-' 11 ' ir'
<br />110.1/1 /11-131 /1I-151 /14171 /1B-191 /30.311
<br />Form Approved.
<br />,- ~ - - - r BOMB No.,2040-000.4
<br />r ; n ~~ -; . -rT APProvN expires OS-31-98
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<br />PARAMETER l3 Grd On/yl QUANTRY OR LOADING /1 Grd-Only! QUANTITY OR CONCENTRATION NG FREOVENCY SAMPLE
<br />l /45-531 !5461/ /39-451 1453 !54611 OF
<br />3I-371 EX ALYSIS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /s:-831 M
<br />/64-681 169-701
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF l
<br />MILIM WITH THE INFO J1W THAT I HAVE PERSONALLY EXAMINED MD
<br />RMATION SUBMITTED HEREIN
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<br />MY INQUIRY OF THOSE INDINDUAL9 IMMEDIATELY RE9PON9BLE FOR n
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<br />illi oeTNNIND THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS ~ /
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<br />EPA Form 3320-1 IOB-951 Previous editions mey be used. (REPLACE6 Epp FORM T-40 WHICH MAY NOT BE USED:1 - i~ -
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