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<br />NATIONAL POLWTAN7 DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
<br />DISCHARGE MONITORING REPORT (DMR) ., ~ OMB No 2040-OOpa
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I «r,~t•. ,in+k= pcnair. ,~t L,w chat du. Dca tnncnt anD all atra:hmrntc wcr %1 TELEPHONE DATE
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<br />~ prparca under mg yr t~non or supent+ion m accorJancc with a rystcm Designed ~j
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<br />~ suhmntcd. BaxD nn my utywry of the petx,n ur pcrcons who manage the .ystem.
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<br />h SIGNATURE OF PRINCIPAL XECUTIVE -
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<br />TYPED OR PRINTED I ,m aware t
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<br />including the puys,h,hty o(fine and m,pnunm,ent fnrknowmg aiulanonc
<br />OFFICER OR AUTHORIZED AGENT
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