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PERMITTEE NAMEIAI• t5l/ndude
<br />Farihry Name/LOrario ~VrnU
<br />NAME_~ ; , L:! Is..LL{.,_I d-L j.(iL" [-l1~iY- _ _ _ _ _ _
<br />ADDRESS ,11.,/6 Y;1 G..IiL.L_------_---
<br />-__iZiLs'Cd'r~' 1L:~lL1:Ai1.3~____--
<br />FACILITY _ _ _ _ _ _ _ __ _ _ _ _ _ _ __
<br />LOCATION ______ __
<br />--- Y L ) l ~ it .rl/~i -------
<br />NATIONAL PULLU IAN (HANUE ELIMUVn uvrv J+a,LM P.ruu/
<br />DISCNARI yNITORINO REPORT/OMR1
<br />(1-16/~ 117-191
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAH MO DAY
<br />FROM ,/ _ U 1 I L TO „ t .4
<br />' ISO-1I/ (17.171 /1!-SJ/ - (1617/ (18.19/ /JQII/
<br />r' - f' I °J A L L Jlo, xao-0aa
<br />Approval e><pller 830-81
<br />CU?l. _I'1i^ I>ll.t+ T!l wIL_~.It, t.:.t:lr.
<br />NOTE: Read Inetructlona belore completing thle loan.
<br />' (3 Card Only/ pUANTITY OR LOADING (+I Card Only/ pUALITY OR CONCENTRATION NO FREQUENCY SAMPLE
<br />PARAMETER (+f6JJl /JI-6!/ (38IJ) (1677/ (J~-61) I E% OF TYPE
<br />(31-37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
<br />(61-63 ,ANALYSIS
<br />/61-681 ~
<br />/b9-70/
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<br />NAMERITLE PRINCIPAL E%ECUTIVE OFFICER I CERTI FY UNDER PENALTY OF LAW THAT I HAVE P ERSONALLY E %AMINED _
<br />1
<br />0 ~ TtiIEPNONE DATE
<br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN; AND BASED .
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<br />~ ON MY INQUIRY OF THO5E INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR ~
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<br />1t. G. ~ ATKZN SON-. %; .. ~~ 087AININO THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION
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<br />M AWARE THAT THERE APE SIO
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<br />NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING 3O 82+4-b4'S1
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<br /> .THE POSSIBILITY OF FINE AND IMPRISONMENT. SEE 18 U.S.C. { 1001 AND i SIGNATURE OF PRINCIPALE%ECUTIVE ~
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<br />TYPED OR PRINTED -33 U.S.C. 1 t71a. lPenalda undrr rhae rlarvler maY inNude Rna v0 ro JIa,OW
<br />and ormar/mum imprisonment o/Dervnnbmantlu and lymn.)
<br />OFFICER OR AUTHORIZED AGENT
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENT AND E%PLANATION OF ANY VIOLATIONS/ReJennn all allachmentrhrre/ 1 '
<br />,•• 1/IL. r, GREASt'-- OFF FJI)ThuT.F. F'/ IN TH6: PEH!IIT. SE'TTI.F.AbL_. SOLLD5 TFSt' HEc?U1Rc.D bNLY IF <= 10-TR,--ZO-lift
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<br />EPA'Fb 2U•1 `RBV•9-BB) lO/J I(IOIIB'rI18~+ `' " (E 4-dO MINICH MAY NOT BE USED.) ~ PAOE OF
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