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<br />ADDRESSNORTH THO'"PSON CREEi( NINES
<br />2/b9 ~0'IP4S5 DRI4E, SUITE IU1
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<br />FACILITY
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<br />NAno DISCHARGE MONI~TORINO REPORT (OMRI~fSI
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<br />PERMIT NUMBER p9CNMOE NUMlEII
<br />MONITORING PERIOD
<br />VEA MO DAY YEAR MO DAY
<br />FROM U1 01 To 02 03 31
<br />"INUR
<br />(SJi-IR DN)
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<br />PARAMETER QUANTITY OR LOA
<br />Quality or Concentration NO. FucUDICY SAMPLE
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<br /> AVERAGE MAXIMUM S MINIMUM AVERAGE MAXIMUM UNITS
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<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br />!' ,i k U P R E A'f M E N T P L A N MEASUREMENT
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<br />S S J L 4 6 D MEASUREMENT
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<br />V I S U A L MEASUREMENT
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER "`^"t° "pnngn n. tent ad
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<br />L EXECUTNE
<br />OFFICER OR AUTHORIZED AOENi CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRI/I!I/1CI d i//~chnftrnts hir~l
<br />:'PTLEAdLn ;;JLIDS LI 4IT rILL• 8E kAIYF,C
<br />,..tTRLI SA!7PLING INSTkUCTIJNS-I. C. 9, PG F;13 >ID-Tk, 24-94 PkiCIP C4 EFi-S
<br />I%. 3D CAY AYG Iti HIGHEST :MOIJTH F.r I. A.2, PG &f, FOk
<br />L7 AYG DUflIMFj PERIOD HE;:UI R~,'1 f'N'"5.
<br />RF.FORTe.D.
<br />EPA Form 3320-1 ~.. 3/99) Previous editions may be used. rh~S
<br />00102/Orh 1Uai~ ~~Ifgnn. PAGE OF
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