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PERMITTEE NAMEIADDRE55 !/MrdifiedrryNsarlaerran I/D~17
<br />NAME f, ;. rtli ~~ql. :. ~M 'r':1 :if
<br />ADDRESS II h +1 ': P I i; :.
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<br />FACILITY
<br />LOCATIONN II L:. =. 'r :.O F'„J.j~
<br />NATIONAL POLLUTMT DISCNMOE ELIMINATON SYSTEM lNPDE$I
<br />DISCHARGE MONITORING REPORT IDMR)
<br />l1-161 (17-19I
<br />?G35L`''131 v~7 i,
<br />PERMIT NUMBER DISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM U '14 ..' TO v : .,:,. d r
<br />!76111 127-731 l14-7b1 !76771 l7B-191 130-311
<br />Form Approved.
<br />F'ri h L l / 1' is I F ? ( r e OMB, No{ 2040-00040
<br />('.~ f; F 4 Y d) APProve' e1tpi4est OS-31-98
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<br />NOTE: Rr.ed Instructions before complstinq thu lorm.
<br />PARAMETER l3 Ord Onlvl QUANTITY OR LOADING 14 Ord Onlyl QUANTITY OR CONCENTRATION NG FREQUENCY SAMPLE
<br /> (4653/ (50-6!/ /38-151 /46531 I&1-6/I
<br />EX DF
<br />l37-371
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
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<br />teasel MALY515
<br />I54-sgl TYPE
<br />169-701
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<br /> MEASUREMENT
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<br />NAME?ITLE PRINCIPAL EXECUTNE OFFICER ' cERTIFV UNDER PENUTr OF I ww TNAT I NAVE PERSONAUr E%AMINED AND TELEPHONE DATE
<br /> AM FAMILIM WITH THE INFO RMATON SUBMITTED HEREIN; AND BASED ON
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<br />Richard A MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />1 j.t:e President OBTNNINO THE INFORMATION, I R
<br />DEYE THE SUBMITTED IN
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<br />TRUE, ACCUMTE MD COMPLETE. I AM AWME TNAT THERE ME
<br />SIGNIFICMT PENALTES FOR SUBMITTING FILLSE INFORMATION, INCLUDING i`
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Relerencs sl/ sttechmsnES here/
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<br />r'n.,~1.;.•1.J. h. V. STJi:"sgTk.i "~iNA;,i."ENT ~LnA C~L 1-1-37.
<br />EPA Form 3320.1 106-951 Previous editions may be used. (REPLACES EPA FORM 7.40 WHICH MAY NOT BE USED.1 r PgGE OF
<br />03LIG/97 iHl~+-121;a
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