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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOES/
<br />DISCHARGE MONITORING REPORT (DMRI
<br />!7-l51 /l7-I91
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<br />PERMIT NUMBER DISCHARGE NUMBER
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<br />Form Approved.
<br />~,OfQBtNoa 2040J)0p4; ;-
<br />Approval expires OS-31-98
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<br />NAME/TITI.E PRINCIPAL EXECUTNE OFFICER I cERn
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<br />MILIAR WITH THE INFO LAw TNAT I NAVE PERSONALLY ExAMINEO AND
<br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
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<br />SIGNIFlCANT PENALTIES FOR SUBMITTING fu9E INFORMATION ~ ~ 970-Fl70-2712 5 7
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lHererenee en ertecnmenrs oars/
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<br />Epp Form 3320.1 108-951 Previous editions may be used. (REPLACES EPA FORM T~0 WNICN MAY NOT BE USED.1 ~ „, ~. ,1 J ~ ~ ~ It ~ ~ _ ] ~ .I „ PAGE _ OF
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