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<br />NATIONAL POLLUTMT DISCNMOE ELIMINATION SYSTEM /NPDES)
<br />DISCHARGE MONITORING REPORT (DMRI
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<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
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<br />Form Approved.
<br />~r••r + r.~-•n r ^.TONJB.No.)20,40-0004:
<br />r „ T „ ~, . ~ ApproveL e;tpirae.05-31-98
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<br />PARAMETER !3 Grd OnlYl QUANTFTY OR LOADING /I Grd OnlYl QUANTITY OR CONCENTRATION N0. FREOUENCr SAMPLE
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<br />TYPE
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS rs)-sal /64651 !6&701
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<br />NAME/TTTLE PRINCIPAL EXECUTNE OFFICER I cEAn
<br />AM FA Fr UNDER PENALT' of
<br />MILIM WITH THE INFO uw THAT 1 NAVE PERSONALLr EXAMINED MD
<br />RMATION SUBMITTED HEREIN; MO BASED ON TELEPHONE DATE
<br /> Mr INOUIIIY OF TNOBE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR -
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<br />EPA Fwm 3320-1 108-951 Previous editiane mey be used. (REPLACER EPA FORM T-0ll WHICH MAY NOT BE USED.) ,~ 1 ~ :; 7^ ;, ~ II .t ~ - i „ T ~ PAGE : OF
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