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<br />NATIONAL POLLUTANT DISCHMOE ELIMINATON SYSTEM lNPOESI Form Approved.
<br />DISCHARGE MONRORING REPORT lOMRJ ., ~. , ~ .. - OMB.No. 2040-0004
<br />2-f el 17-191 '
<br />-, ~ •~ ~ ~ ~ . ~ ! - ~ . ~ Approvd expires 06-31-98
<br />_ PERMIT NUMBER DISCHARGE NUMBER _ ~ •, r ;
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
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<br />174211 112-231 11425) 126-?71 128-29) !36311 NOTE: Read Irotructiaru Mfo eo btinp this lorm.
<br />PARAMETER 13 Grd OnlYl QUANTITY OR LOADING 11 GM Onlyl QUANTITY OR CONCENTRATION NQ FREOUENCV SAMPLE
<br /> !46531 !5451 I3B-151 !15-53 1545/ EX OF
<br />l32-371
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !sz-e]! (54-sBl 169-701
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMIMED MID TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON
<br />' MY INOUIRV OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOP '
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