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<br />NAME FYF'nv`~ ~rPIkt C;ikr'ukAT iuN
<br />ADDRESS }~ U UUX 6tl
<br />,~~CaAIG CLl y162b
<br />FAauTM lYF'kL,S EMPIF:E CUKF'U9cATji,N
<br />LOCATIONCkAIu ~ ~ GU tl1625
<br />ATfN M1Cr1AEL K. LUULGnF GENEkRL MGK
<br />PARAMETER !3 Grd Onlyl
<br />(/6-531
<br />132-371 -T
<br />AVERAG
<br />NATOMAI POLLUTANT DIBCNAROE EUMINATDN 0Y41EM /NPOES/ Form Approved.
<br />DISCHARGE MONITORING REPORT (O Rf Ot.~B fl~o 2Atjg0.00014k
<br />2-T6 n-rel . ~.. _' b '~ rr d l a T J !I L. ~ ~ K
<br />- ~4 4" - ~., Lik YW PDrove eycpj4 ~05-37-98
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<br />NAME/TITLE PRINCIPAL. EXECUTIVE OFFICER I CERTIFY uBDER CENUTY of KI.7HAY AvE PERSONALLY ExAMINED AND ~ TELEPHONE ~ ~~DATE
<br />' AM FAMILIAR W17H THE INFORNIA7'lON S~BMITTED HEREIN; AND BARED ON - n
<br />MY INQUIRY OF THOSE.INO NpUALS-1MM WIATEIY'REBPONSIBLE FOR '
<br />Richard ~dilis OBTNNINO THE INFORMATIOpN"^I BELIEVE THE SUBMITTED INFORMATION IS /
<br />TRUE, ACCURATE /J1D CDMBLETE. k.'AM AWARE THAT THERE' ARE 7 ~ ~~ ~ ~`~ ~ -
<br />F.I'1VIE'OE1RIPrltO~ Mi3I18 EIP I" 9GNIFICANT PENALTIES FOR aUBMITTINO FALSE INFORMATION, INCLUDING -~ - L
<br />THE POSSIBILITY OF RNE AND IMPRIBONMFNT. SEE 1e U.e.C.l 1001 AND 73 9JO 8J9-2JT2' 4 ZS 49f
<br />u.s.c. I tote. R°Irn.ld.. uw tMw mnm. svr NcAM rxr• w ro ! ro,ooo •810NATURE OF PIIINCIPAL EXECUTIVE AREA '
<br />TYPED OR PRINTED uMnnrnvmn NUVlrn+wrt or 6rMwn eneonN. Ane By.Fra! OFFlCER OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Raiarance sll ettachmants here)
<br />~tTTLtaDLC SL1LIi:5 L1^^li hA[VtU File lUY1.,14Nk P.ttC1P tYurT-yLL I.A.~F PV [YF rum ntdulhcMENTS. L!L :.
<br />~kcaSt L,kAli 5AMrLE anALY~IS kc~iulktU LF YISIiiLt SHE_ti IS ULSSLkVcU. QkTkLY aAMvLlr.i; INSTKUCTICN~-l.i.b.
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<br />EPA Form 3320-1 108.951 Previous editions may be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 pp [ 12 / y t: 1 u ti 1-1311 PAGE lOF
<br />MONITO ING lOD s
<br />YEA DAY c 0 DAY
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