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PERMDIEE NAME/ADDRESS Qnctude Faci)iry NmndLocatlon ijDigaranq
<br />NAME yOYIE REST'!.'.^.~S CI'!ITEC!
<br />ADDRESS ROYIS' ~0. ' "'T:t
<br />P.D• S')X ti 1
<br />PAG:IZA rp R742y
<br />FACILITY
<br />LACATIONBOYIE CO y142~1
<br />i1'TN: tiILLZA" P.. 9i:AF JR.. '1IN° tlGR
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDEB)
<br />DISCHARGE MONITORING REPORT (OMR;
<br />(446) O7- 81
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<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 99 :14 O1 TO 9q 75 30
<br />(70.21) (14-431 (40.45) (2&471 (ze-291 (00.31)
<br />Form Approved. '
<br />w I e 0 R OMB No. 2040-0004
<br />Approval expires 0631-96 ,
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<br />NAME/TITLE PRINCIPAL IXECUTR/E OFFICER I CERTIFY UNDEq PENALTY OF
<br />AM FAMILIAR Wlnl THE INFORM LAW THAT 1 NAVE PERSONALLY EXAMINED AND
<br />ATION SUBMITTED HEREIN; AND BASED ON MV TELEPHONE DATE
<br /> INQUIRY OF THOSE INDNIDUAL S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br /> THE INFORMATION, I BELIEV E THE SUBMITTED INFORMATION IS TRUE,
<br /> ACCURATE AND COMPLETE.
<br />FOR
<br />UBMITTIN I AM AWARE THAT THERE ARE SIGNIFICANT
<br />G FALSE INFORMATION
<br />INCLUDING THE
<br /> PENALTIES
<br />S
<br />POSSIBILITY OF FINE AND IMPR ,
<br />ISONMEM. SEE 18 U.S.C. 41001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE
<br /> 4 13t8. (Ponetties antler 0rese statutes nreT Inclutle Ones up ro 510,000 en0 or OFFICER OR AUTHORIZED AGENT
<br />TYPED OR PRINTED medmum imprisonment pl tx+twean ti montrts entl syeen.) NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference a!I attachments here)
<br />__:.TTLF.ABLE ~?LIDS L[CI]' 4'rPLfES ORLY IF C=lOYP.,24HP, PZFCCF @9^RT iS C1.AI*=D. ZF CT.ACN APPROYF9 F'Y +'QCP,
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<br />EP Form 2o-1 (OB-95) Previous a Itions may not be used ~ (i(EP CES A FO T' I Y 0 " E •) OOD Y l /o q n 7 1 7-1 7 7 ~ PAGE I OF
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