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<br />LOCATION ~1 ~f
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<br />Form Approved..
<br />NATIONAL POLLUTMT DISCNMRF EIIMINATON SYSTEM NPOES/ OMB NO. 20460D04
<br />DISCHARGE MONITORING REPORT (D R) s'i a ~~' ;." i~
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<br />PERMIT NUMRER DISCNMOE NUMBER ~ ~'~; ;~t n', ,, EUi. ie b3
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<br />NOTE: R~~d Intltruetloro bel«~ eompletln0 thfa lorm.
<br />.PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. ~E o~OY SAMPIE~-
<br />AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS EX MuYSIS TYPE
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<br />/TITLE PRINCIPAL EXECUTIVE C
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<br />TYPED OR PRINTED
<br />pnpaM aMn mf dlreellm wmpenlYOn In aeordanrt wllA • »nem dd[md
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<br />1 >m vm Net then en d[nltlnnl pewtlrt fm mAMltlnt nl. Informetlon,
<br />InAWlnt the pmIMtllYOftn and Imprlaonment for l«wln[ NWnOmra
<br />DATE
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<br />61aNATURE OF -IIINCN'AL EXECURVE
<br />OFFICER OR AUEHORIZED AGENT CODE NUMBER YEAR MO DAY
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<br />Form 3320.1 (Rev. 3/99) Previous editions maybe used.
<br />{I ~ r. ~ ~ l IFn13 `578±;1-D3TI~QtD1. PAGE OF
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