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PERMITTER NAME/ADDRESSI(lnclrrde/ . NATIONAL POLLUTANT DISCHARGE ELIMINATION SYBTEM (NPDES) 1TGrm Approved
<br /> Farlllll' ) d Name Laeallon 1 dl eMnl ,/ 7 !
<br /> ! ) � / — O ;DISCHARGE MONITORING REPORT (DAlR) I
<br /> I OMB No.20400001
<br /> NAM! I s _ I-16) 17-19) f f'1 iYL L :• ApproYst eA)bee 12.31-97
<br /> ADDREB Y1S� ({ •'. l -+ _ ! ! '• '�r _ .' H Gvr%KLJ LKc..h '`
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<br /> PERMIT NUMBER - DISCHARGE NUMBER ;G 1 C . A
<br /> 11 � I .�) .� �' •. ` 11� �r,1 T�rl,I� I1 • y. ,
<br /> J MONITORING PERIOD
<br /> J
<br /> YEAR MO DAY YEAR I MO . GAY 2�
<br /> LOCATION FROM ti TO
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<br /> _ L L '• ). : 1 :'1 ) : 1 1_'.) i 1
<br /> (20.21) (77- J) (24-75) (76 ) 175-19) (30-J1) NOTk:Reed Instructions before Completing this form.
<br /> (J tard Only) QUANTITY OR LOADING (I Card Only)" QUALITY OR CONCENTRATION _
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<br /> l E% ANALv81e TYPE
<br /> (JJ 37) AVERAGE MAXIMUM UNITS MINIMUM AVERAGE, MAXIMUM +. UNIT$ 6)fiJ) (61fid) (69-70)
<br /> SAMPLE 44v**4 4JV44** 1 _ VT: *44I
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<br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED f _ 'YRLEPHONE D A T E
<br /> AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HEREIN. AND BASED �'a t •'J� fY- _ -'
<br /> ON MY INQUIRY Of THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br /> ,� V l��'r�n!`• ,T OBTAINING THE INFORMATION. 1 BELIEVE THE SUBMITTED INFORMATION
<br /> V IS TRUE ACCURATE AND COMFLETE 1 AM AWARE THAT THERE ARE SIG —
<br /> 'r NIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION INCLUDING ' f
<br /> THE Po891BUTr or nNE AND IMPR¢ NMEHr SEE IB use 1 lool AND SSldNATURE OF-PNINCIP,iI4EXECUTIVE-
<br /> 33 USC 11319 rPenallR. order rbr Ialulre nu nrludr/mn uP m rll1,M11
<br /> and n.maarmum.mPnmmmmn./Mmvn mnnlA.and.il y..r..r _ ARE,TYPED OR PItINTEO I >OFFICER OhfAUTNORIZED AGENT=♦ ';NUMBER YEAR MO DAY
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<br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS IRe/rrrn..all mrauhmrme here) , n• ::�, - �'� • t. (,; , - +- c v ..
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<br /> EPA Form 3320-1 (Rev. 10-79)UNTIL EDITION
<br /> IO EXHAUSTED BE T USED (REPLACES VA /OEM T-40 WHICH MAY NOT BE USED.) I.,(11 rr</t.'`P V 1 V r�L jr!J PAGE I OF
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