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fERMRTEE NAME/ADDRESS RwrA+/.rlobNwr'I.ralee VDb..wq
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<br />FACIIIT'
<br />LOCATION
<br />PARAMETER
<br />SAMPLE
<br />Farm Approved.
<br />NATIONAL tOLLVTANT DISOHMOE ELIMINATION SYSTEM /INPDFS) OMB Na. 2040-0004
<br />DISCHARGE MONITORING REPORT lDA1R1 i~ i ?i ~? Fi
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<br />MONITORING PERIOD ~~~- ' .
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<br />NOTE: Raad hnlructioRr bdwa comphtirlp thh loan.
<br />QUANTITY OR LOADING QUALITY OR CONCENTRATION NQ, EREOUENCV SAMPLE....
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<br />NAME/TITLE PRINCIPAL EXECVTNE OFFICER ~ "`^" t ° n pen. It o bw 14M u4r doavmem erW ou eltoc4mmb "
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRafbranca aN dhchmanh hare)
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<br />EPA Form 3320-i (Rev.3/99) Previous editions may bo used.
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