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<br />PE~~ EI'fEE NAME/ADDRESS(l.drb F.er/.ryNaw/tawwr dD(ytr..,,p ~-y
<br />NAME HEi21t ~JttL =JMFANY
<br />ADDRESS M A N ~i ^i i J ;j
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<br />ST(:An,l)r„ V?1~;-: ~) 9071!
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<br />/ - }tATIONAL P.OLLUTMTDISCHMOEEDMIHATON SYSTEM`/NPOfS! T ~ -'1 ~ Form Approved.
<br />1 ~ ~. - DISCHARGE MONITORINO'REPORT IOMRI~~ g No 20 -0004
<br />z-rsl n-rs POKD A/T&78 TD CAg~J, A . ~~ . ~.R
<br />C'J,:950b37 001 (SU9R BV) Approvei expir~~06-31-98
<br />PERMIT NUMBER DISCHMGE NUMBER F' - F I td pL
<br />MONITORING PERIOD '~ I1:0 R
<br />YEAR MO DAY YEAR MO DAY
<br />FROM J' U4 J TO UV JD S. -~<` :VO DISCgA.^.GE ~XXII~ ~`-~~"
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<br />PARAMETER l3 G1rd Only! QUANTITY OR LOADING ft Ord Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE
<br />/32 14653) (5661) 13B-1St !46-53 150-51/ OF
<br />-37t EX
<br />MALYSIs 7yPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS Ise-631 (6666) 169-701
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<br />NAME/TITLE PflINCIPAL EXECUTIVE OFFICER I cERn
<br />AM FA FV UNDER PENALTY DF Lww THAT I NAVE PERSONAlLr ExAMINED MD
<br />MIVM WITH THE INFORMATION SUBMITTED HEREIN
<br />AND BARED ON ~- TELEPHONE DATE
<br />
<br />Richard A. T111T160n ;
<br />MY INOVIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTAINING THE INFORMATION
<br />I BELIEVE THE SUBMITTED INFORMATION IB qq
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<br />ACCUnATE AND COM0.ETE
<br />I AM AWME THAT TNEAE ME ~
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<br />Vice President .
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<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />EPA Form 3320.1 108-961 Previous editions mey be used. (REPLACES EPA FORM T<0 WHICH MAY NOT BE USED.1 (' 2 1 ~ / ~ ~) ~ 1 4- 1 ~ 5 U PAGE 1 OF
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