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<br />NATIONAL POLLUTANT DISCHMGE ELIMINATION SYSTEM INPDESI Fomt Approved.
<br />DISCHARGE MONITORING REPORT IOMRI ~ - OMB No: 2040-0004
<br />!I-tsl 17-)9)
<br />/ t Approval expires 06-31-98
<br />PERMIT NUMBER DISCHMGE NUMBER ~ _
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<br /> 105-53/ /50-ell 138-451 14653 151-571 GF
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rsa-s]1 154-ISB/ !e&701
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<br />NAME/i1TLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF L
<br />AM FAMILIM WITH THE INFOR AW THAT I NAVE PERSONALLY E%AMINED MD
<br />MATION SUBMITTED HEREIN; MD BASED ON ~ TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR ~ '~
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<br />_ OBTNMING THE INF011MATION, I BELIEVE THE SUBMITTED INFORMATION IS ~ L
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<br />SIGNIFlCANT PENALTEB FOR SUBMITTING FALSE INFORMATION. INCLUDING -
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<br />EPA Form 3320-7 (08.961 Previous editions may be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.) PAGE .OF
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