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<br />. PERMITTEE NAME/ADDRESS p~wY4 Fr0iry NaWfaauee JDI~+eO
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<br />ADDRESS,UU inF(tLU Mihc NATIONAL POLLUTANT DISCHMOE ELIMINATON SYSTEM (NPDESI
<br />DISCH1 R6E MONITORING REPORT (OM9~
<br />CC,UU 36599 UO A
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<br />yUlj~ flt Form Approved. ~ i
<br />;OMB No L2040nOt00~•
<br />Approvi ex~lrf~05-31-98
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I NAVE PERSONALLY DIAMINED AND
<br />AM FAMIUM WITH THE INF011MATION SUBMITTED HEREIN; AHD BASED ON ~. TELEPHONE DATE
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<br />~IE-F.=-k~ / ?IAY •S~7L..i MY INDUIRY OF TNOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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