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<br />NAMERRLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L
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<br />EPA Form 3320.1 (08-95) ~ Previous editlons may not be used^ ^ ^(REPLACES EPA FORM T•40 WHICH MAY NOT BE USED.) PAGE OF
<br />NATIONAL POLLIfTANT DISCHARGE ELMINATION SYSTEM (NPOESf Form Approvetl.
<br />DISCHARGE MONITORING REPORT (DMR~ OMB No. 2040.0004
<br />(2-161 Or- 9) `! ~ ~ . ,
<br />~ ^,~ ^ ~ 7t c tl r, ~ rt L „ Approval exiles OS31-98~
<br />PERMIT NUMBER DISCHARGE NUMBER n _ •••e• •.~~17 T7
<br />MONITORING PERIOD ' T'- ° ~ • -' "~ " ~ T^ °'!' "t ° ( ~^^ c o~
<br />YEAR MO DAY YEAR MO DAY ~ '
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<br />(zar) rzs~za) tze-ss) (zas~) lsaz9) (ao3r) NOTE: Read Instructions bef leting this form.
<br />TY OR LOADING (4 Certi Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE '~i
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