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<br />NATIONAL POLLUTANT OISCNMOE ELMINANON SYSTEM /NPDESI Form Approved.
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<br />YEAR MO DAY YEAR MO DAY __ II
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<br />116711 l71-131 !70.75/ 116.171 /75-Y91 !36311 NOTE: Read InetrUClIWU ba}ora cOmplatlnp thle }Ofm.
<br />PARAMETER !3 Grd Onlyl QUANTTY OR LOADING !4 Grd Onlyl QUANTITY OR CONCENTRATION NO FREQUENCY SAMPLE
<br /> !46531 !54611 l38-151 !4653 154611
<br />EX OF
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<br />l3I-371 MALVSIS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS l61-eJ! !64681 169-701
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CEIITIFY UNDER PENN.TY OF LAW THAT I HAVE PERSONALLY EXAMINED AND TELEPHONE DATE
<br /> AM FAMIDM WITH THE INFORMATION SUBMITTED HEREIN; MD BASED ON
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<br />EPA Form 3320-7 108-951 Previous edibone may be used. (REPLACES EPA FORM Td0 WHICH MAV NOT BE USED.1 n .1 T T 1 /,~ s` ('ll n 1 _ • ~ 1 ~ PAGE ~ OF
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