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<br /> DISCHARGE MONITORING REPORT (OMR~
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<br />(,~ ,~ ~ OMB No. 2040-000a
<br />Approval expires 05-31-98
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<br />NAME/T17LE PRINCIPAL EXECUTVE OFFlCER I CERTIFY UNDER PENALTY OF
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<br />IN: AND BASED ON MY TELEPHONE DATE
<br /> INQUIRY OF THOSE INDIVIDUAL S IMMEDIATELY RESPON SIBLE FOR OBTAINING /
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<br />0 SIGNATURE OF PRINCIPAL EXECUTIVE ~ ~/~' ' '')'/- ' % > ~ i -7 - 'Ii (-•
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell attachments hale)
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<br />EPA Form 3320.7 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) r \ ., ~ I ., _ , PAGE OF
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