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PERMITTEE NAME/ADDRESS pne66FrMryNalWfsr:m yDIQlrwq
<br />NAME iRAt•PFIt 'IINIpc, I'VC.
<br />AoDRESSTAAPPER "INF
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<br />sYI9: J. GORD~N P'•:*.F.RS, pRkS/GE'.'! "7a
<br />NATIONAL PoLLUTANT dSCHAROE ELIMINATION BvsTEM (NPOESI
<br />DISCHARGE MONRORING REPORT /DMR1
<br />7-ISI 17-191
<br />PERMIT NUMBER ascHAncE NI9Ael:R
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR ~ MO DAY
<br />FROM ~ TO q ¢j j].
<br />110-711 177-131 III-151 !76171 178-291 1314317
<br />Forrn Approved.
<br />N I R~ P OMB No. 2040-0004
<br />(S U R R N k) APProvel expires OS-31-98
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<br />NAME(TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDEfl PENALTY OF LAW THAT 1 HAVE PERSONALLY ExAMINED AND
<br />AM FAMILIAR WITH'THE INFORMATION SUBMITTED HEREIN
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<br />SED O TELEPHONE DATE
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<br />MY INOUIM OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />INCLUDING 970-824-4401 99 04 0
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<br />YHE POSSIBILITY OF HNE AND IMPNSONMENT. SEE to U.S.C. f 1001 AND 33
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