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<br />NATIONAL POLLUTMT DISCHMGE ELIMINATION SYSTEM /NPDESI FOlm APPlOVed.
<br />DISCHARGE MONITORING REPORT (DMR1 ~ nnq ~~ + mnOMB•No.12040-000,4
<br />11-151 l17-191 ~'-'' - ,
<br />" 1 !1 '? 7. 7 15 7 ') T r, q (-: • e:' ~ >• APProvel expires OS-31-98
<br />PERMIT NUMBER DISCHMGE NUMBER _ r .. s T L
<br />MONITORING PERIOD •~ e 1 ~~ l
<br />YEAR MO DAY YEAR MO DAY ,r
<br />FROM 1 TO •t9 "I •, ,-~: _- ~ ~T-;:',7. .,.;, I~ ..:.:.
<br />!70111 171-131 !76151 116-771 l1B-791 /30-911 ~ -NOTE: Read Inetluc[irne bafore.FCAomlPletinp this 1olm.
<br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !I Grd Onlyl QUANTITY OR CONCENTRATION NG RIEOUENCY SAMPLE
<br /> 146-531 !546/ 38-051 !4653 !54611 E DF E
<br />I37-371 X MALYSIS TYP
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !st-sal 164681 169.701
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<br /> MEASUREMENT
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENUTY OF UW THAT I HAVE PERSONALLY EXAMINED MD
<br />AM FAMILIM WITH THE INFORMATION SUBMITTED NEREIN; MD BASED ON TELEPHONE DATE
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<br />RlcllarCl i'Iils MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONABLE FOq
<br />OBTNNING THE INFOMIATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br /> THE POSSIBILITY OF FINE MD IMPRISONMENT.. SEE r8 U.S.C. f 1001 MD 3]
<br />SIGNATURE OF PRINCIPAL EXECIITNE Q _7 7 T {
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<br />EPA Form 3320.7 108-961 Pravloue edmons mey be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.1 n r n -~ ., / 9 n f, II ~ ~ _ T (• 7 n PAGE ~ OF
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