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PERMITTEE NAME/ADDRE$$ (/nclude Facilrrv Name/Location fDiBerrnrJ NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDESJ Form Approved.
<br />NAME ~
<br />PiCf:iTiZiiE FECCf_SIHG, LLC DISCHARGE MONITORING REPORT (OMR
<br />12-161 r/7~3eJ
<br />~.IrCN OMB NO. 20400004
<br />ADDRESSN t' w f. L R C I h E C,~ (:i L c b _° E) Approval expires 05-31-98 ~ s
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<br />arKSr~ A~~~n'{,,,r (3 Cerd Only) QUANTITY OR LOADIN ~
<br />~' (4berd Onry) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
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<br />69-70
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF L
<br />AM FAMILIAR WITH THE INFORM AW HAT 1 HAVE PERSONALLY E%AMINED AND
<br />ATION SUBMITTED HEREIN
<br />AND BASED ON MY TELEPHONE DATE
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<br />~` J C t ~1 J h L ~-t' ~+ INQUIRY OF THOSE INDIVIDUAL
<br />THE INFORMATION, I BELIEV ;
<br />S IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />E THE SUBMITTED INFORMATION IS TRUE,
<br />/ ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTING f AM AWARE THAT THERE ARE SIGNIFICANT
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<br />FALSE INFORMATION
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<br />(~ n [~ r POSSIBILITY OF FINE AND IMPRI ,
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<br />SONMENT. SEE 18 U.S.C § 1001 AND 33 U.S.C. SIGNATUR OF PRINCIPAL EXEC IVE SQL 9 4 -'1 3 U ~ Z
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<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Relerence ell at(dC4menfs here)
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