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PERMITTEE NAME/ADDRESS 9M:LFrdiry9s./(as,m pD,p..m0
<br />NAME _.~= ... .- ,TF .. __ - „_ _ ~_.
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<br />ADDRESS t...' .-_ L~Z''j = ~~'".lA ` -. .:r S,. i .
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<br />FACILITY
<br />LOCATION
<br />NATIONAL POLLUTANT DISCHMOE ELIMINATON SYSTEM /NPDESI
<br />DISCHARGE MONITORING REPORT IOMR1
<br />2-I51 I7-19)
<br />- PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM : T .I TO - ?
<br />!26711 l12-231 !7425/ !26271 178-191 !343/1
<br />Form Approved.
<br />. _ _. ~ .- .. -OMB No: 2040-0004- .
<br />/ - -, ,' ~ , Approval e~pi(ee OS-31-98
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<br />PARAMETER !3 0.rd Onlyl QUANTITY OR LOADING !4 Grd Onlyl QUANTTY OR CONCENTRATION NO FREQUENCY SAMPLE
<br /> 14653/ !5661/ /38-05/ /4657 /54611 DF
<br />l37-371
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<br />AVERAGE
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<br />UNITS EX
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<br />167-a]1
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<br />1169-701
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<br />NAMERITLE PRINCIPAL EXECUTR/E OFFICER I cERTIFr UNDER PENN.Tr OF LAw THAT 1 NAVE PERSONALLY EXAMINED MD
<br />AM FAMIDM YATH THE INFORMATION BVBMITTED HEREIN; MD BASED ON TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INOIVIOUKB IMMEDIATELY RESPONSIBLE FOR
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<br />I\ICI la 1~d i~l.~~~S OSTNNING THE INFOM/ATION, I BELIEVE THE BUBMITTED INFORMATION IS
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