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RERMIT7EE NAME/AODRE55 pM.d. FmWryNaw/focm/m l/D/pnnq
<br />NAME ""!; 'I)^ vr~oA ': AI. [.`T x.'11, C1F1.
<br />ADDRESS "7L'~/.'~ LFial ;n.7°.' r, %:c 4•" ~
<br />~ F: ...~ 111 :7 Gri )~
<br />FACILITY
<br />LOCATION
<br />NATIONAL POLLUTANT DISCHAIIOE ELIMINATION SrBTEM lNPOESI
<br />DISCHARGE MONITORING REPORT lOMRI
<br />2-76/ 17-191
<br />,.70!7 ~f 71 ~'1 rQ1 1
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM f TO
<br />UQ]fl UJ-031 /]6]51 05-]71 /]8-]91 /30.31/
<br />Form Approved.
<br />-. .. ~,--... - OMB~No X2040-00041
<br />Approve ezpile>r 05-31.99
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<br />NOTE: Read Inettuctlone balore eompletlnp this form.
<br />PARAMETER 136.d On/N QUANTfiY OR LOADING is Grd Ontyl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> !/5-531 15b611 /38-d51 !4653/ I5L611
<br />EX DF
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<br />I92-371 ANALrsls YPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /e]-eJl l5y5g) 169-701
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<br /> MEASUREMENT
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<br /> MEASUREMENT
<br />JGS45 0 U ;) PERMIT G4rIS#3X ttXII### ?#fi#K•! •, r, ^.~?tT (1. `; ~ ulcF'/ :1QA;1
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFr UNDER PENALTY OF
<br />AM FAMILIAR WITH THE INFO LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />RMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOP ~ -
<br />Richard ; dills OBTNNIHG THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />SIGNIFICANT PENALTIES FOR SUBMITTING
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS !Referenda en sttaehments halal
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<br />Epp Form 3320-1 108.951 Prsvioue editions may be Geed. (REPLACES EPA FORM T<O WHICH MAY NOT BE USED.) ," ," „ ~ _f / , ~ ~ ~ _ PAGE 1 OF
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