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PERMITTEE NAME/ADDRESS (rMr6irWry Ner/fanlm dOrpnmq
<br />NAME L.I'. .]AI. _].'^AhY
<br />ADDRESS '~ ~~ n :, ."• I .ti F
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<br />NATIONAL POLLUTANT DISCNAROE ELIMINATON SYSTEM 1/yPDE$l
<br />DISCHARGE MONITORING REPORT lOMR1
<br />13-I6) /I7-193
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<br />PERMIT NUMBER DISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM J. JI. J TO ~ a '~~ ~ ,?
<br />11431/ 133-331 !14351 136-373 139-191 !3431)
<br />Form Approved. _
<br />P l!: f) i /'f R I a T ~ ~; Ofy18,Nox 204Q-0004„ .
<br />L , .{ Approval expires OS-31-98\
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<br />PARAMETER !3 Grd On/yl QUANTITY OR LOADING !I 0.rd Only! QUANTITY OR CONCENTRATION NQ FREQUENCY SAMPLE
<br /> 146-531 351-611 138-451 !46631 1566/I OF
<br />133-371 EX ANUrss TYPE
<br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MA%IMUM UNITS /63.691 156681 169-701
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<br />NAMERIttE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF UW TNAT I NAVE PERSONALLY E%AMINED AND TELEPHONE DATE
<br /> AM FAMILIAfl WITN THE INFORMATION SUBMITTED HEREIN; AND BASED ON
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<br />[LLCLrOLU A• 1•(1II180T1 MY INQUIRY OF TNOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR ~
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<br />V ~CS President OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATON IS
<br />TRUE. ACCUMTE AND COMPLETE. I AM AWARE TNAT THERE I1XE
<br />SIGNIRCANT PENN
<br />TIES FOR SUBMITTING FALSE INFORMATION
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<br />EPA Form 3320-1 108.951 Previous editions may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 G i 5 fi ~ q ~ ~~ H 1 V - 12 ,~ Il PAGE I OF
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