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<br />DISCHARGE MONETORING REPORT lDMRI ~ ~ r ~ ~ I 1 r OMB No. 2040-0004 • -
<br />!T-I61 17.19 ~ ~ - ~~
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSOMULY EXAMINED AND
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<br />~< 4 1 ~. ( MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />! TRVE. ACCUMTE AND COMRETE. I AM AWME THAT THERE ARE
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<br />THE POSSIBILITY OF RNE AND IMPNSONMENT. SEE 15 U.S.C. F 1001 AND 33 /
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IRetsrence e// ettecnmsnfs nere/
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<br />EPA Form 3320.1 108.951 Previous editions mey be used. (REPLACES EPA FORM TAO WHICN MAY HOT BE USED.1 n C ;19 / 9 7 10 31-151 3 PAGE 1 OF
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