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<br />NAME `;i.UF' ;"ll+lt`isFft~rl :;;iS~;!?,;, `/ S~iY.
<br />ADDRESS ~ r'~"~ ~ U v {:S L ,"r L
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<br />NATIONAL POLLUTANT OISCHMOE ELIMINATION SYSTEM NPDES)
<br />DISCHARGE MONITORING REPORT (D R)
<br />PERMIT NUMBER ascH/AOE NLIMem
<br />MONITORING PERIOD
<br />YE DA YEA M - O
<br />FROM " '' ~ TO -`
<br />porm Approved.
<br />OMB No, 20460004
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<br />r. r''L x.411 i?i??.Ii
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<br />NOTE: Reed ImlruNaro Eefae comphtln0 thh lam.
<br />PARAMETER
<br />. QUANTITY OR LOADING QUALITY OR CONCENTRATION - NO.
<br />EX fll[COUFENCY SAMPLE
<br /> ANxrsls TYPE
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