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PERMITTEE NAME/ADDRESS pnel,b F•eu.ryNaw!/a•rl•n UD~i.wrl
<br />NAME ~ r .. ~ -. ..
<br />FACILITY
<br />LOCATION
<br />NATIONDISCLHARGEDMON TORINO REPORT OMRIPDES)
<br />l1-161 17-191
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<br />PERMIT NUMBER DISCHNIGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ~ '. TO '1' ' .
<br />IJlLJ rI /JJ-J3l /14J5/ lT6171 l1B-79/ l3Q3//
<br />Form Approved.
<br />- - - - OMB No>2040-0004
<br />_ r, .1 Approval aXp~ ti s OS-31-98
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<br />'NOTE: Reed Inetruetioru before eompletin0 thie form.
<br />PARAMETER l3 Ord On1Y1 QUANTITY OR LOADING ll Ord OnIYI QUANTITY OR CONCENTRATION NO RtEDUENCY SAMPLE
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<br />l31-371 µALYSlS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !sT-sal l6q-
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<br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I CERTI
<br />AM FA FY UNDER PENALTY OF UW THAT I HAVE PERSONALLY E%AMINEO AND
<br />MILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
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<br />t".fcherd I IIt~S MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />SIONIFlCANT PENALTIES FOR SUBMITTING FALSE INFORMATION
<br />INClUO1NG
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<br /> THE POSSIBILITY OF RME AND IMPRISONMENT. SEE 18 U.S.C. 1 1001 AND 3S 610NATURE OF PRINpPAL E%ECUTNE
<br /> U.S.C. ! tale. IrMYtl•• u.!•r 1Mw •6Am• m•Y Yrpd• r•r• w n, FIO,OOD AREA
<br />TYPED OR PRINTED rgnmuinun irrpianwnt •I e•nrwnsm•nuN rderwr•.1 OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS 7Relerence s8 etlecnments nerel
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<br />EPA Form 3320.1 108-85) ^Previoue edmone may be ueed.l (REPLACES EPA FORM T~0 WHICH MAY NOT BE USED,) , r, , _ _ / ; r ^, „.'_, ~, PAGE OF
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