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<br />MATIONK POLLUTMT DISCNMOE EIJMINATION SYSTEM lA/PDESI
<br />DIBCHAROE MONITORING REPORTPORT D~
<br />1-15 /7-19/
<br />i10~ 44
<br />PERMIT NUMBER DISCNMDE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM v TO :; Y
<br />124711 121-431 174761 ~ 176171 178-191 130-311
<br />,.UJR fi'n
<br />Form Approved.
<br />OM 204.OQ04
<br />,. I Approv~elleirpN4s ~05~31.98
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<br />PARAMETER l9 Grd Onlyl QUANTITY OR LOADING 11 Grd Ontyl QUANTITY OR CONCENTRATION ND FRFOUENCY SAMPLE
<br /> 06531 151.51 138-16 !1663 6L5/ OF
<br />131-371 EX MKVas TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />18{681 '
<br />159.701
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTI
<br />AM FA FY UNDER PENKTY OF
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<br />IM WITH THE INFO LAw TNAT I NAVE PERSONKLY E%AMINED MD
<br />MD BASED ON
<br />RMA?ION $USMITTFD HEREIN TELEPHONE DATE
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<br />MY INQUIRY OF THOSE INgVIDUKS IMMEDIATELY RESPONSIBLE FOR I
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<br />Rlchart •+1111$ OSTAININD THE INFORMATION, I eEl1EVE TN[ SUBMITTED INFORMATION 19 n
<br /> TRUE, ACCUMTE MO COMPLETE. I AM AWME TNAT THERE ME
<br />SIONIFICMTPENKTIESFORSUSMITTIMOFKSEINF011MATION
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<br />~vir~nrlel:ta /'1•i/1.3C:F1 , ~97 870-271? lJ
<br /> THE POSSIBILITY OF RNE MD IMPNSONMENT. SEE to U.S.C. 1 1001 MO 9]
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe/erence ell ett~chments here)
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<br />EPA Farm 3320-1 108.951 Prsvioue editions may be uesd. IREPLACE6 EPA FORM T-40 WHICH MAY NOT BE USED.) J uU Il /y61 U~ 1' 1311 PAGE 1 OF
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