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PERMITTEE NAME/ADDgE55 prbb FrWry Nr./Lecsua. pD;p•.n,q
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<br />•}, ~ COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference sll sttschments here/
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<br />EPA Form 3320.7 108.951 Prevloue edmons may be used. (REPLACES EPA FORM T-00 WHICH MAY NOT 8E USED.!
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<br />NATIONAL POLLUTMT DISCHMOE ELIMINATON SYSTEM /NPOESI
<br />DISCHARGE MONITORING REPORT IOMRI
<br />17-161 17-191
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<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM 1.; .; TO '~' '.
<br />1367/1 l12-131 174751 !76171 l7B-191 130.3/1
<br />Form Approved.
<br />~•T.••, r)r^r~v ;.0•-c ~~.~OMBINo~2l)40-0004
<br />/--; ,,~ .1 ~~~ APProve~ex9irPe 05-31-98
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<br />`NOTE: Reed inetruetione belora'co7npletinq thu form.
<br />PARAMETER !3 Urd OnlYl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CONCENTRATION }ID FREQUENCY SAMPLE
<br /> !46531 !54511 l3B-951 !06531 /5I-511 EX OF '
<br />l37-37/
<br />MALYSIS ryPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS ls7-ssl !54681 169-701
<br />DH SAMPLE .. .h::} .::t'p'.c ... ( , ~L
<br /> MEASUREMENT
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<br />NAMElTITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PEMUTY OF LAW THAT I HAVE PERSONALLY E%AMINED MD
<br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN: MD eMEO ON TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />^117harrl i,~l~~:: OeTNMING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />Fnvfronmentat P:9anager TRUE. ACCURATE MD COMPLETE. I NA AWME THAT TNEgE ME
<br />SIGNIFICMT PENALTIES FOR SUBMITTING FKSE INFORMATION
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<br />01 MD 30 BIONATURE OF PRINCIPAL EXECUTIVE •~
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<br />TYPED OR PRINTED U.S.C. ! 1310. lPrWOiA uWr 1I~r rhNnr rrrY NcA,dr rsNS ,q b S 10,000
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