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<br />PEgMITTEE NAME/ADDRESS pwaYi FrWryNaNlonnan UDIBb.nP
<br />NAME TRAPPER 'WING, 7N C. .
<br />ADORESSTRAPPER ML~P.
<br />P.O. PO[ 197
<br />CHA1G CO H161.5
<br />FACILITY
<br />LOCATION
<br />hTTN: ir. GORD~N PETERS, PRFS/[i8!T t+GR
<br />NATIONK POLLUTANT OISCNMOE EllMINATON 8y3fEM ``NPOESI
<br />DISCHARGE MONtTORINO REPORT /OMR/
<br />I1-161 /7-I9/
<br />PERMIT NUMBER DISCHMGE NUMBEA
<br />MONITORING PERIOD
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<br />Form Approved. -
<br />~ I N (~ v OMB No. 2040-0004 h'~
<br />(S D H R q it) Approval expires OS-31-98 ~ ~~
<br />DT.SCH1?GP TO SA!:`' CREP1( +)
<br />NOTE: Reed InatrueUBRe befw. compbtiDq this corm.
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CEAT
<br />AM FA FV UNDER PENALTY OF
<br />MILIAR WITH THE INFO LAW THAI I NAVE PERSONALLY EXAMINED AND ~"
<br />RMATION SUBMITTED NERUN; µD BASED ON TELEPHONE DATE
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