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<br />NATIONAL POLLUTANT DISCNAROE EDMINATIDN SYSTEM NPDE$f
<br />DISCHARGE MONITORING REPORT D~
<br />1-161 17-191
<br />PERMIT NUMBER DISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ~i Ut. .i TO" 9y Dv .J
<br />176111 /2?-131 /?I-I51 /1G771 /79-191 /.74311
<br />Form Approved. •~ ,
<br />_ OM ~10. 2040-0004
<br />' °iV ~ ~ ~' 1'~' ' r ~ ~Ap p~ovb( et~piree 105-31-96
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<br />PARAMETER (3 Grd Onlyl QUANTITY OR LOADING 11 Grd On/yl GUANTITY OR CONCENTRATION ND FREpUENCY SAMPLE
<br /> 146-531 15i6r 13815 16-53 !6461
<br />EX OF
<br />l32-371 ANKYSIS TYPE
<br /> AVERAGE MAXIMUM UNI75 MINIMUM AVERAGE MAXIMUM UNITS remeal /64681 169-701
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<br />NAME7TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF
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<br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
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<br />t MY 1NOUBY Of ~TNOSE 'INDIVIDUALS IMMEDIATELY RESPONSIBLE fOR
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<br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE f B U.S.C. 1 1001 N!D as
<br />61GNATUIIE OF PRINCMAL EXECUi1VE
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<br />TYPED OR PRINTED pq nmulm,pr lrpdaemwrr O/al,rrnema,d,r rWSwral OFFICER OR AUTHORRED AGENT CODE MBER iR MO DAY
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