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PERMITTEE NAME/ADDRESS R+drbFrWryNw/leru.m I/OIQEn.Q NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM /NPDESI
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<br />C {~ C"` W • f DISCHARGE MONfiORINO REPORT (OMRI
<br />17-1W 317-191
<br />ADDRESS `. • Vl -. L S e T `; P '- ~ .17 fT 7 ~ 0 /~ ^ 13 A
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<br />T ~ PERMIT NUMBER DISCNNIGE NUMBER
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<br />. ~. YEAR MO DAV YEAR MO DAV
<br />LOCATION; ,-, I tY. C) `t l 0 i 1 FROM '+~t !. e: '. TO `1 y •ll
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<br />( '.Y_: _ r : ° R 'f N S I . P : 3 . /36111 117-231 /24761 /76771 /18-191 !3631/
<br />Form Approved.
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<br />PARAMETER 13 Grd On1Yl QUANTITY OR LOADING 14 Ord Onryl QUANTfTY OR CONCENTRATION Np, FREOLENCV SAMPLE
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<br /> AVERAGE MA%IMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS mt-esl /6<-6gl /69-701
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<br />NAME/TITLE PRINCIPAL E%ECUTNE OFFlCER I cERnFr UNDER PENALTY of uw THAT I NAVE PEnsoNALLV EXAMINED ANO TELEPHONE DATE
<br /> AM FAMILIAfl WITH THE INFORMATION SUBMITTED HEREIN; ANO BASED ON
<br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
<br />~ ( ~. ~,^~ / OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />COMMENTS AND EXPLANATION OF ANY VIOLA nONS IRaerenee y/ ertecnmenrs Here!
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