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PERMITTEE NAME/ADDRESS pabm Foollm"A'ura'Loranon ll/O~n^0
<br />NAME NATIONAL POLLUTANT DISCHARGE ELIMINATION ~~iirrSTEM lN~DESI
<br />DISCHARGE MONIT
<br />T'lOMRI O[' '"I~r+oproved.
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<br />ADDRESS :.hit hU. r ,CIS r. (_',JUU4 ]7 (J ii ..d M r ,7:i
<br /> P.G. t"~'.{ SIC PERMIT NUMBER "DISCHM+cENUrAetq p F1N~R 21 1999
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<br />MONI70RIN PERIOD nF pp
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<br />FACILITY
<br />' EAR MO DAV YEAR MO DAY l7 Ofhii
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<br />LOCATION FROM -~ 1 a TO i s 'v ii 15 C h A H G E ~ _~ ~ ~~ `~''
<br />h 1 l h : ~ N n 1 k. L i, n !. , ' i !~ :. '.^. d'. A V E H q 112-131 /1 116171 /28-191 !30311 eed inetructloru belore completing this farm.
<br />PARAMETER l3 Cerd Onlvl QUANTITY OR ING Grd OnlYl QUANTITY OR CONC N N0, FRCOUENCY SAMPLE
<br />131-371 /46531 154-61 138-151 (46531 154611 EX S TYPE
<br /> AVERAGE MAXIMU NITS MINIMUM AVERAGE MAXIMUM UNITS !eZ-FJl ANALYSI
<br />!84_58/ !5&701
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<br /> MEASUREMENT
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENMTY OF L
<br />AM FAMILIAR WITH THE INFO AW THAT I HAVE PERSONALLY ExAMIN
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<br />THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1 B U.$.C. f 1001 AND 33
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<br /> u.s.c. ! t 3t P. I11rrWd.a cater d.> .trvh. m.v N,chd~ nw., uP ro S IO,OW SIGNATURE OF PR
<br />NCIPAL EXECUTIVE AREA
<br />TYPED OR PRINTED .neww,.aimt.n NrrodmrNnr oran...n ewwrma.n4S yrr.l OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAV
<br />COMMENTS AND EXPLANATION Of ANY VIOLATIONS lRe/erence e// ettechments halal
<br />tOa u :41nL ;tld~ ., a..:._. AILL EE MAIYc: ii, ntr it .i r.i:L:.noL.- r~L; ~_ ,.~, ii .~r 1'LLI.~ ivn ~=iUYc, [y!~b e•nL.:l r' ~Yt. ..:,
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<br />EPA Form 3320-1 108-95) ~ Previous editions may be use (REPLACES EPA FORM T~0 H CH MAV NOT B USE .I U v U b J / HGG ~G IZ^09u 3 PAGE OF
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