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<br />NATIONAL POLLDTM" 'CNMOE ELIMINATION SYSTEM NPDES) FOfm AT vad. ,
<br />DISCHAR( ~NITORINO REPORT (D R) OMB N. 40-0004
<br />!?-1 e. 17-191 ~ ~: ~ ,
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<br />!?x111 !??-131 !14151 /?6171 !?e-191 !3631/ ., NOTE I Raad inetruc(Ime belori'2omlpletlnp this lorm.
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<br /> !16531 !546/1 !38-15 !4653 !546/1
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<br />(31-371 MALVSIS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /s~-s.]1 /546e1 l56loi
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<br />NAMERITLE PRINCIPAL E%ECUTIVE OFFICER I cERTIFr UNDER PENALTY of
<br />AM FAMILIM WITH THE INFO uW TNAT I NAVE PERSONAUr ExAMINED MD
<br />RMATION SUBMITTED NEREtN; MD BASED ON f TELEPHONE DATE
<br /> MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOfl \ •.:
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<br />OBTAINING THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION I] -
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<br /> TRUE. ACCUMTE MD LOMRETE. I AM AWME THAT TNE11E ME
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<br />~ SIGNIFILMT PENAlTlE9 FOR SUBMITTING FALSE INFOFMATON, INCLUDING
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