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<br />f32-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND TELEPHONE DATE
<br /> AM FAMILIAR WRH THE INFORMATION SUBMITTED HEREIN; AND BASED ON MV
<br />Richard Mills INOUIRV OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
<br />THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS TRUE,
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<br />EnvfronmentRl Manager ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br />PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INCLUDING THE
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<br />COMMENTS AND EXPLANATION Oh ANY VIULAI IVNS (Here/once all aDBCpmenlS here)
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<br />L:i6Ii7 `.'U. :; r.8 I. n.l, PG 1^, YO:i sUYvE>! OF P50DF RE;;UIIt~h;: N'l5. OIL i. GYLA:; is--SH L' FOUT NOT:. F/, FG 1.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form ApprOVed.
<br />DISCHARGE MONITORING REPORT (DMR;
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<br />° OMB No. 2040-0004 ~ '
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<br />, Approval expires 05-37-98 ;~l,p
<br />000027154 005 A (SU3R !, Y) ~~ .
<br />PERMIT NUMBER DISCHARGE NUMBER - ~ I ;; A L RO(1 T
<br />MONITORING PERIOD !". I tl E 1, F G ii D D T O F O I O t/ L C F' ^ Y. R ~,.~
<br />YEAR MO DAY YEAR MO DAY ~~;"'
<br />FROM ~'O yr vi Tp D •,Ir J1 "%'% NO DISCtlAAGL• ~__( >r'f.
<br />(zosll !zz-z31 !za"zsl (zs-nl (ze-291 lsn3rl NOTE: Read Instructions before completing (his form. ;;;JJJ
<br />Y OR LOADING (4 Cem'Onty) QUANTITY OR CONCENTRATION NO. FRFOUENC SAMPLE
<br />(54-6/) (38-05) (46-53) (54-61) EX OF TYPE T
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<br />EPA Form 3320.1 (OS-95) Previous editions may not be used. (REPLACES EPA FORM 7-40 WHICH MAY NOT BE USED.) 0 0 0 57 / 0 0 G 4 0 5 -1 S G 1 PAGE L OF
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