PERMITTEE NAME/ADDRESS Qndude Fncilirc Nnme/Gnmtinn ifDifferenr)
<br />NAME
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<br />ADDRESSr H A P k• E A ! I A E
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDEE) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMA; OMB No. 2040-0004
<br />rz-IS) It r s) f' I h C F Approval expires 05-31-98
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<br />PERMIT NUMBER DISCHARGE NUMBER E- E I A! 1 ! C i 6 T
<br />MONITORING PERIOD k G N L ti 5-' 7 C A C t• !! E G L I C h
<br />YEAR MO DAY YEAR MO DAY __
<br />FROM OC C1 O1 TO CG C~ «$ NC II_CHAFCE (_ ( X#<
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<br /> (3 Cmd On 5)
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<br />PARAMETER 3J (38-45) (46-53) (54-61) EX OF TYPE
<br />(32.30 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(62-Gil ANALYSIS
<br />(64-6B)
<br />69-70
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF
<br />AM FAMILIAR WRH THE INFORM LAW THA71 HAVE PERSO
<br />ATION SUBMITTED HERE NALLY EXAMINED AND
<br />IN; AND BASED ON MY TELEPHONE DATE
<br /> INQUIRY DF THOSE INDIVIDUAL
<br />THE INFORMATION. 1 BELIEV S IMMEDIATELYAESPDN
<br />E THE SUBMITTED IN SIBLE FOA OBTAININO
<br />FORMATION I TRRUE.
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<br />W, Gordon Peters
<br />ACCURATE AND COMPLETE.
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<br />ISONMENT. SEE to U.S.C.§10m AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />TYPED OR PRINTED § 1319. (Penalties under these statutes may inclutle flues up ro Ef0,000 end or
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<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attacrrments here)
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