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PERMTTtEE NAME/AODRESSp~bFadryNaw/f~mon//D~Grsq
<br />NAME TRAPI'PR SIN.IMfF j:'r~
<br />ADDRESS TRAPPER MI?a!I:
<br />P. D. P.OI 197
<br />CRAI :`J 01526
<br />FACILITY
<br />LOCATION
<br />A7I'N: Y. GOAD~N p£TEA^, R:?f;5/GCtl NGR
<br />NATIDNK POLIUrANT DISCMAROE ELIMINATION SYSTEM /NPDESI
<br />DISCHARGE MONITORING REPORT /OMRI
<br />17.151 17-19
<br />PERMIT NUMBER DISCHMOE NVMew
<br />MONITORING PERIOD
<br />YEAR O DAY YEAR MO DAY
<br />FROM TO ]
<br />170-111 117-731 111-761 IT677/ lIB-z91 /30.311
<br />Form Approved.
<br />t T N ^ p OMB No. 2040-0004
<br />(5!.1BR NW) APProvel e><pirse 05-31-98
<br />T - tINAL r^Pf*
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<br />PARAMETER !3 Grd On/7l QUANTITY OR LOADING Is 0.rd Onhl QUANTITY OR CONCENTRATION NO- FREQUENCY SAMPLE
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<br />l37-371 EX ANKrsls TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS z-s.T~ 16L6B1 165701
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<br /> MEASUREMENT
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<br />NAMEIfITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENKTY OF S
<br />AM FAMILIAR WITH THE INFOR AW THAT I HAVE PERSONKLY E%AMINED AND
<br />MATION SUBMITTED'HERDN
<br />MID BASED ON TELEPHON E DATE
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<br />MY - INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON90LE FOR
<br />W, GOLdOa YKeI~ OBTNNING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS
<br />TRUE, ACCIMAIE AND COMPLETE. I AM AWARE THAT THERE ARE ~ ~ ~~ 970-824-4y 99 OL 30
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