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PERMITTEE NAME/ADDRESS p.,i•s. FrslnA's.'ta.,lo.VD,p..o.n
<br />NAME' i fB?. :' J+L:.. Y i'i)aL (:17 Y:f :`,Y
<br />ADDRESS ~n ll'i.~ ~ CA?lYf`V r~Fif
<br />FACIUTV („'A'r '.+ YA1. !."Y CaF 1, i'~`'trA ~'(
<br />LOCATION
<br />NATIONAL POLLUTANT OISCNMOE ELIMINATON 9VSTFM (/VPDE$)
<br />DISCHARGE MONITORING REPORT /DMR)
<br />17-161 /7-191
<br />L'f+004(• '7 JQ
<br />" PERMIT NUMBER wscNARDE NtWeEA
<br />' l !+ ` 1- U I I / p MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM U •} TO I! 1..
<br />176711 177-731 174751 !16.771 l18-191 !363/1
<br />Form Approved.
<br />;'.'. f1 PfJ In (1 !",~'+,r *I.oM~Np. 2G~0-ooQ4:.~
<br />( ; U I C 'r 1') APProvel'e>~p~rge.05-31.98
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<br />PARAMETER !3 Grd Onlyl QUANTITY OR LOADING 11 Grd On1Y1 QUANTITY OR CONCENTRATION }.1D. FREQUENCY SAMPLE
<br /> 106531 15461 I38J51 !9653 /546/
<br />EX OF
<br />TYPE
<br />137-371 ANALYSIS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rsa-sal /64881 169-701
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFlCER I CERTIFY UNDER PENALTY OF LAW THAT 1 HAVE PERSONAUY E%AMI
<br />AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND B NED AND
<br />ASED ON TELEPHONE DATE
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<br />MV INQUIRY OF THOSE INDINDUN.9 IMM WIATELY RESPONSIBLE FOR
<br />OBTNNINO THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATON IS ~~ ~ `~
<br /> I AM AWARE THAT THERE ME
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<br />- THE POSSIBILITY DF RNE AND IMPRISONMENT. SEE to U.S.C. ! 1001 AND ]] SIGNATURE OF PIIINdPAL EXEd17NE
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