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PERMITTEE NAME/ADDRESS pndude Faci(i0•NamrlGncmion JDifferen0 Nq
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<br />)NAL POLLIfrANT DISCHARGE ELIMINATION SYSTEM (NPDE6) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMR;9j a 1 1, C fl OMB No. 2040-0004
<br />Approval expires OS-31-98
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<br />NAME?ITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY E%AMINED AND TELEPHONE DATE
<br />AM FAMILIAR WITH THE INFORM ATION SUBMITTED HERE IN; AND BASED ON MV
<br />INQUIRY OF THOSE INDNIDUAL
<br />n f, ~ ~ e A ~~ ~ I ~ h THE INFORMATION, I BEUEV
<br />{A /~ S IMMEDfATELV RESPONSIBLE FOR OBTAINING
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<br />ACCURATE AND COMPLETE.
<br />PENALTIES FOR SUBMITTING I AM AWARE THAT THERE ARE SIGNIFICANT
<br />FALSE INFORMATION
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<br />M n r 4. / POSSIBIVTY OF FINE AND IMPRISONMEM. SEE I6 U.S.C. § 1001 MID 33 U S.C.
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<br />EPA Form 3320-T (08-95) Previous edltionsmBy,gDtbUtf$'eU ,,.," (Q~PL/ACES EPA FORM T-40 WHICH MAY NOT BE USED.) .~' PAGE OF '
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