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.wMITT[[ NwM[IwDDR [ff /Include :Jdy Narr_•/Lorarbnry enrJ ,DRrn.I_7L„_~ Sti___YJCI.~-----__-- - -.i)-I.S..,:~TS.>: 7L_-_ - - - ~ Z_ H 6 f1D 1_ - ------------------- .clun ------------------- IC ATION 1'f!~: DL':~.t1T5 L. iTl?Yt'I:~O`i PRf?STDF:11'P nwnor.wL Fo uuiw Nr oucN wwct ulMlnwnoN arsTeM /NPD£JI DISCHARGE ITORING REPORT /D.NRI 1 l6 I7 19 T PERMIT Nl1M F1ER DlscNwwct nur,[w MONITORING PERIOD YEAR MO DAY YEAR MO DAY f ROM -!T7 {.1 TO I (1011/ (11131 /I1~1J1 /16171 /18191 /10.31/ hII:OR Form Approve (SI1BR NY) k:9I>+~TNo. 2040 F - FINAL Expires 9-30-91 DISCHARr,E TO TF.28/SAG, CREEd Y=mar NO DISC k.4Rf,Y. ~ ~ #~=~ NOTE: Read instructions bafo co plating this form. 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O[RTIFY 'URGER PENALTY DF Uw TNAT I NAV[ PFRSOMALU [[AYw[D MAY ENTITLE PRINOI-AL E1(tCUTIV[ OPPIC[R :I '- .AND Y IAMILIY TI TNF PM1T BYITTE IN N 6 II A [D ~ v [ ? ~ ^ "' TELVNONE `' - " _ D A T E p A I WI MFO U O ME [ AND E $ ON Yr INOl11RY OF TNOSC MDVIWALS MYEpATELr RCSFONSIBL[ FOR: _ •, .k ~ [T • ~~ - 1 1..) '~. C ~- -_ ' ~ - . ~ T .,< ~ ' T ^ Jy (~} _,l `• .OBTAINING TN[ MEY]RMATIO.V I R[LKVE THE SUBMITTCO INFORMATION ^ ^ 5 TR E ACC R TE'AMD C Y R[ I WAR[ T TMLR G _ - ~l ' " J' i J ~ ,-_ ' •, J U A R AM A TNA [ AR[ SI U O 1 ~ ~ [ ~ 1NIFICANT PENALTI[S FOR SUBMRTING FAL6E INFOpYATIp1 'INCLUDNG ~; - _ T . J . F~ - ~iNF POSS9Lrtr OI FmC AND IMPRF.ANM[NT YE IB UfC E'I001 wND ~ ~ `Y ~ ' ~ '• ` ~ ~ 4 . . {/I! ((I~~J • E~ . '~ `]JUSC E 1)19 IhvRM. YRRO IArr NFmr.• Inrr ,nrludr /ur•'Y 'N JI0.nn 616N TUR OP PRINCIPAL EIECUTIVE l 7 - p , ' ,~ TYI DOR PRINTED ~ ~rnln.ll.•alnw, IIIIPnunm.nr../A.r.rrnJw.,nIA. 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