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PERMITTEE NAME/ADDRESB prdrb FanGryNa./Incmlm l/DIS~naW
<br />NAME CXri,L,~ LYr/I.~ Ciittir~Ln:All'u'r
<br />ADDRESS •U DUB( f]J
<br />FACILITY CYt'KUS tMi'iFLv CC1kNL;haT lurv
<br />LocanoN~ K A 1 U C U d l b 2'~
<br />a11M1 M1LhA.-L k. 11171 !!n i.l-11FkAl hC.Y
<br />NATIONAL POLLUTANT DISCNMOE ELIMINATON SYSTEM INPDES)
<br />DISCHARGE MONITORING REPORT (GMR)
<br />l2-16/ !.7-191
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<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONTTO ING PERIOD
<br />YEAR MO DAY i ~~ YEAR MO DAY
<br />U TD ~
<br />FROM
<br />- 114211 !11:231 /262 J' 12627/ l28-291 13431/
<br />Form Approved.
<br />OMB ND. 2040-0004
<br />~r i, 1L~ ..~ rvl <;.;~.,A6dTo~{y.'i8~'`LPI~e~05-X37-98
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<br />NAMEi?ITLE PRINCIPAL fXECUTR/E.OFFlCER 1 CENTI FY l1NDER PENALTY OF L AW THAT I.HAVE PERSO NALLY E%AMIN ED AND TELEPHONE DATE
<br /> AM FA MILIAR WITH THE INFO RMATION SUBMITTED H EREIN: AND BA SED ON i
<br /> MY 1NQwIrY Of TNOSE INDINDUN5 IMMEDIATELY RESPONSIB LE FDR ~
<br />
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<br />'CICThYC~ .•.1{I{s OETNNING 171E IFFORMATION: 1 BELIEVE THE SUBMITTED INFORMA
<br />TRUE. ACCURATE AND COMRETE. 1 AM AWARE THAT THE TON IS
<br />RE ME
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<br /> SIGNIFICANT PFN,QRES FOR SUBMITTING FKSE INFORMATION
<br />IN CLUDING I
<br />_ _
<br />Fi'.v1YCiE'r7.'+:I!?I i,'.QiT ;^,r l' ,
<br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE IB U.S.L.11001 AND 3G
<br />~
<br />SIGNATURE OF PIIINCIPAL EI(ECIITNE
<br />n~l~ n
<br />80U'27T2
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<br />TYPED OA PRINTED V.S.C. E 7316. IPn,.rAiA Udr eur moms mrT bKh-w Fw.. w ro frD,aoo
<br />AMwnMrmun .nP'laorvwnfWbnr.er empreMW aTFra/
<br />OFFICER OR AUTHORIZED ADENT AREA
<br />CODE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /RrJ~rence s// ettechments here/
<br />• L;.. L1h~.1T AVPLIES iU Uuwnl`vtU FLGW F~UM U03, 022 t. Jt~t. U1L 6 u,;'c.:t GRAB ~AHPIt ah4LYS[S i1tJ~[1~._'. fr
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<br />EPA Form 3320.1 106-951 Previous editions may bs used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.1 PAGE OF
<br />UUhSh/901601-1311 1
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