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<br />NATONAL POLLUTANT DISCHARGE ELMINATON SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (OMR~
<br />PERMIT NUMBER DISCHARGE NUMBER
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<br />!20.211 122-13) (29251 /28211 l2B-291 !30311
<br />Form Approved.
<br />_ OMB No. 2040-0004
<br />' t Approval expires 05-31-98
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I OERT FY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHQNE
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<br />INQUIRY OF THOSE INDNIDUAL4 IMMEDIATELY RESPONSIBLE FOR OBTAINING ~
<br />Richard f.lilis THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
<br />. ACCURATE AND COMPLETE. 1 AM AWARE THAT THERE ARE SIGNIFICAM
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<br />` PENALTES FOR SUBMITPNG FALSE INFORMATION, INCLUDING THE I ,1
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<br />EPA Form 332o-1 (0&95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) n ,~ } o ~ ~ o ~ ~ 7j T 7_ } S ~ ri PAGE T OF
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