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PERMITTEE NAME/ADDRESS p.hbFxmy NawJ(ocanen QDldinnq
<br />NAME rye ,IC ~ ~`~ }'. .
<br />ADDRESS ~I ] y~ ~ •7 .. I'~."„~ _.-.-~~d. ~.
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<br />FACILITT}r, ~'-
<br />LOCATION
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<br />NATIONAL POLLUTANT DISCMMGE ELIMINATON SYSTEM INPDE$1
<br />DISCHARGE MONITORING REPORT lDMR1
<br />17-I51 117-191
<br />~70~271.i11 ~nq A
<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM / .:., TO ~~' ~' :.I 1''
<br />!26711 !77.731 174751 !16171 l78-I91 136311
<br />Fonn Approved.
<br />• ., - ~ _- t; .., ~.~OfylBtNo:.2040-0009-~
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<br />(r t. , t Approve4 elCpirPe.05-31-98
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<br />NOTE: Rsad Inetructlone belore completlnp this corm.
<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING 14 Grd DnNI QUANTITY OR CONCENTRATION NO FREDUENCr SAMPLE
<br /> /06531 154-d)1 138-~51 11653 I546I1 cF
<br />l37-371 EX
<br />MALrss TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Is
<br />]-e~! (54.581 1e9-701
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW TNAT I HAVE PERSONALLY EFAMINED MD TELEPHONE DATE
<br /> AM FAMIUM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON
<br />
<br />Richard IJIIII i MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATON, I BELIEVE THE SUBMITTED INFORMATON IS
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<br />IErIaCICI'
<br />Environme-ltal ~ TRUE. ACCUMTE MD COM0.ETE. I AM AWME THAT TNERE ME
<br />SIONIFICMT PENALTIES FOP SUBMITTING FALSE INFORMATION
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<br />THE POSSIBILITY OF RNE MD IMPRISONMENT
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lrrsrerenee en srrsenmsnts nets/
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<br />Form 3320-i 108-95) Prevlaw sdltione mey ba used. (REPLACES EPA FORM T40 WHICH MAV NOT BE USED.) rl ~~ ,,t ., / .~ ^ ~,, ; 9 _ , „ ~ ~ PAGE 7 OF
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