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<br />FACILITY
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR;
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<br />0000271'irl 001 A
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM '~'~ u t TO U ~ v> >
<br />(2PY11 (YY~131 (1d-251 R6-2rl (28~Y91 (J03p
<br />Form Approved.
<br />,~ ? J U .,{ OMB No. 2040.0004
<br />Approval expires 05-31-98
<br />(SUrli' t: w)
<br />F - FI'aAL 30G
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<br />(32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />69-70
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN
<br />AND BASED ON MV ~ TELEPHONE DATE
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<br />Richard ~I)~S INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
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<br />Environmental Manager SIGNIFICANT
<br />ACCURATE AND COMPLETE. I AM AWARE THAT THERE AR
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell attachments here)
<br />AL""EHNAT~ LIt1IT5 FcR TSS L ~ETTLEAt;i,4 50LILS" (L'JC '0') APPLY ~nLY IE <= 1C-YH, 24-F:; ~!?S;,i(' i V£NT IS
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<br />EPA Form 3320-1 (08.95) Previous editions may not be usetl. (REPLACES EPA FORM T-40 WHICH MAY NOT-BE USED.) OOOO 4 / O ~ U U i; S - j t O j PAGE 2 OF
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