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<br />NATIONAL POLLUTANT OISCNMOE FOMIMATIOM Sv S'fCIN Ii~r~eu'1 Form Approves 1.
<br />DISCHARGE MONITORING REPORT (OMR1 t O Nni 04D, r
<br />1-151 /l7-191 P'• T'.: "," .h ,.
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<br />!36171 l71-331 /14151 !76171 /IB-19/ 13a3f1 ~~~ NOTE: Resd Imtructlons M1ai'eompbElnp thiE 1um.
<br />PARAMETER /3 crd Ontyl QUANTITY OR LOADING !~ Grd Onlvl QUANTITY OR CONCENTRATION NQ. FREOVENCY SAMPLE
<br />7 46531 154-611 /3B-f5/ /465 15461 DF
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<br />/54581 163701
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<br />NAMElMLE PRINCIPAL EXECIITNE OFFICER I CERTI
<br />AM FA FY UNDEA PENALTY OF lAW TNAT 1 HAVE PERSONALLY E%AMINED AND
<br />MILIM NATH THE INFORMATON SUBMITTED HERON
<br />AND BASED ON ~ - / - TELEPHONE DATE
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<br />MY INOUIM OF THOSE INDINpUAlS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFOMIATON, I BFIIEVE THE SUBMITTED INFORMATION IS -
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<br /> TRUE. ACCUMTE AMD COM0.ETE. 1 AM AWME THAT THERE ARE
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