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<br />DISCRARGE MONITORING REPORT /O R/
<br />lZ-151 /7-191 ,~, ,,. n ENS~A 2040-0p04
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<br />!70-7 /; , ~ 131 l14-151 116771 !Ze-191 130-3TJ
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENAITV of LAw THAT I HAVE PERSOeaLr ExAMINED ANQ TELEPHONE DATE
<br />AM FAMILIAR WITH THE INFFOpRMATON SUBMITTED HEREIN; AND BASED ON _ _
<br />MY INQUIRY OF THOSE ,INDINOUALS IMMEDIATELY RESPONSIBLE FOR ~ )
<br />S:I~'i I•'Y{} „));g OBTAlNINO THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
<br />' TRUE, ACCURATE ANp COMPf.ETE. 1 AM AWARE iHAi THERE ARE i' ~f ~ /
<br />' ~ '~t[lt. C.'i .3~r SIGNINCANT PENAlTIE9 FOR SUBMITTING FALSE INFORMATION. INCLUOINO ^_• '^ ^^
<br />THE POSSIBILITY OF RNE AND IMPNSONMENT. SEE 1B U.S.C. ! 1001 AND 33 610NATURE OF PIi1NCIPAL EXECIlTNE '
<br />U.S.C. ! 1310, IhnYdr. MWr tlww mNh..t.r McAW rYME IP ro 110,000 AR A`
<br />TYPED OR PRINTED .rwnnw.T:nnn irmrlavNrA++WMwwn 4manDMa~Mbrwa/ OFFICER OR AUTHORIZED AGENT CODE N-I11.IBE~ ~~ YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS IR4/ersnee sll sttechmenb here!
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<br />EPA Form 3320.1 108.96) Previous editions may bs yeed. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.) PAGE OF
<br />I J~I;j~/yb1UU1-111
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