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FERMI ME/ADDRESS lTn[AIJIfrleryNarTaurm l/Dr6irtnp <br />NAME )~~~„~ .Plrlri4 Li1nr~,rcAT1U+~ <br />ADDRESS P 1. U UJC U ti <br />FACILITY CYPRUS cNP1fiE COkVakATION <br />LOCATION[Iip1G {U 816Ly FROM <br />ArTh N1ChAEL r. LUOLOMe GENtttAl MCR <br />ONAI POLLUTMT DISCHMOE ELIMINATION BVSEEM rrNPDESJ Form Approved. <br />DISCHARGE MONRORINO REPORT lDMRI ONlB No • 7A~Og04 <br />1-16/ I7-19 i..VA t= U 7iv-Yln <br />. - r 4 . ~ A'pprove e><p! rea OS 3198 <br />~Ubtt ~+a ~a!}4J <br />PERMIT NUMBER DISCNMQENUrAeEn ~. - h 1 t+AL <br />• ~ MONITO§IIiG PER M I"Uri <br />'V ~ O DAY .~~ - YEAR. 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F..: . <br />...... <br />~ <br />~ <br />.,,...: <br />.:.. <br />.... <br /> .x... ..... , <br />..::.:: <br />, .. :. r: .~... , <br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI <br />F FY UNDER PENALTY OF L <br />T <br />E <br />F AW THAT I HAVE9ERSO <br />TTED N <br />R <br />T <br />O <br />SUBM NALLY E%AMIN <br />ERDN <br />MD BA ED MID' <br />SED ON TELEPHONE DATE <br />' AM <br />AMILIM WITH <br />H <br />IN <br />O <br />MA <br />I <br />N <br />I <br />" ; <br /> <br />Richard h1111s IMMEDIATE <br />MY INQUIRY OF THOSE INDIVIDUALS <br />OBTMNINO THE INFORMATION, .I BELIEVE THE SUBMI LY REBPONBIB <br />TTED INFORMA LE FOR <br />TION le <br /> <br />/ <br /> TRUE. ACCURATE MD COMPLETE. -1 AM :AWM <br />IFICMT PE <br />T <br />ES FOR S <br />BMITTING FAL <br />INF <br />S <br />O <br />A E THAT THE <br />ORMATION <br />IN RE ME <br />CLUDING { r ~ <br />4 <br />~ ' <br />Environmental Mana er <br />g I <br />, <br />N <br />N <br />L <br />I <br />U <br />SE. <br />THE POSSIBILITY OF NNE MD IMPRISONMENT. .SEE 18-U.S.C. E 1001 <br />AND 37 . ~ <br />non <br />non '^ ^^ <br /> u.S.c. r 1 ale. lM..lel.. ulsr tlnr mans miY LxwW a... Ip ro r/0,000 BIONATURE Of PRINdPAL EXECUTNE <br />C , <br />NUMBER ~ <br />YEAR <br />MO <br />~XV <br />TYPED OR PRINTED .,s>nrrhrun Mpionrnt a/Mrwrn a mentlraW 6 nvs/ OFFlCER OA AUTHORIZED AOENi ODE <br />COMMENTS AND EILPLANATIDN OF ANY VIOLATIONS /Rereronce en sf(ecnmen f9 Oere/ <br />Qc1ILtAbLt 5L)L1L5 Llt•1LT AIAIVtO rL:k 1vYkr24Md P~ttC1P LVENT-Str_ 1.A.3, Pi. iVr Fl.~ ,.tUU1n~McnT:,. L1L <br />L,ntA~E GKAt ~AHhLE Ar+AlYS1~ Rc~UIkEU !F Y1S(bLE ShEcav IS UdScRVEO. :~hTr2LY ;A`1Pl1hL [YSTitUCT1C,:v~-i.~e <br />may bs.ueed. (REPLACES EPA FORM T40 WHICH <br /> <br /> <br />