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PERMITTEE NAME/ADDRESS pwrbJ. FrrNry Naw/la.nm dOMG.w.p
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<br />FACILITY
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<br />NATIONK POLLUTANT OISCHA110E ELIMINATON SYSTEM INPDESI
<br />DISCHARGE MONITORING REPORT lOMR1
<br />17-15/ I7-191
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<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ' ~ a TO '!" ~ 9 "'
<br />!70711 172-731 111-151 176771 179-79/ (3631/
<br />Form Approved.
<br />.. r.~^ t r ~.• - >.rOMBtNo,..2040-0004~r:
<br />l-.1 u r t, q l APProvel ezpifes OS-31-98
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<br />NOTE: Reed Inetruetione before complatlny thin loan. F
<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING !1 Grd Ontyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE
<br /> 1d6531 l54-6f !38-45 146531 /5d-511 Ex OF
<br />l3I-371 N+ALVSS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rsz-ssl 154-581 159-701
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW TRAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE
<br /> AM FAMILIAfl 1MTM THE INFO RMATION SVBMITTED HEREIN; AND BASED ON
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<br />I~icha rd Ivll~~$ MY INQUIRY OF THOSE INDINDUµS IMMEDIATELY RESPONSIBLE FOR
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<br /> OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IB ~
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<br />TRUE. ACCURATE AND COMPLETE. I AM AWME THAT THERE ME
<br />SIGNIfICANT PENALTIES FOR SUBMITTING FAIRE INFORMATION
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<br />9%Q 870-7712
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<br />THE POSSIBILITY OF RNE AND IMP11150NMENT. SEE to U.S.C. f 1001 ANp ]]
<br />3 BIONATLIRE OF PRINCIPAL EJCECUTNE
<br /> U.S.C. E 1
<br />1 a. fFlNWN. unOw rMa 0vn. neY NcA.W 7iNS w ro F IO,OOp AREA
<br />TYPED OR PRINTED e+/a-nrr..hNnr hral++F+re+r elErlwwwremmdurMd ywi/ OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />CDMMEN IS AnIV CArLAnA11Vn VC Anr vtv~A nrrna Inarerencs sn arrscnmen rs oars!
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<br />EPA Form 3320.1 108.951 Previous editions mey be used. IREPLACEB EPA FORM TAO WHICH MAY NOT BE USED.1 ~ , t ~ , 7 „ _ r , „ ~ _ , , „ PgGE OF
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