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PFRMTTTEE NAME/ADDIEES O.d.Ar AeYwrxr'trr~r Y0y1.~.y
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<br />MAng1K rouvrw• alCMAAO[ NMMATWM srntM rNPOfSI Oho No. 26a-00o+
<br />DISCHARGE MONRORINO RE-ORT (DMRI
<br />PERMR NVMBER as.wMOErIMlA `^ - 2 1 ! li i.6 G,
<br />MONITORING PERIOD - ~ - -i 3 -. _ - '' . 'r } L t. >.: [_'+
<br />YEAR MO DAY YEAR MO D Y _ _
<br />FROM TO
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<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION HO. tw[°~tNtY SAMPLE
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<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS E ANKY9! TYPE
<br /> SAMPLE
<br /> MEASUREMENT
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<br /> REQUIREMENT 1}TY.1liUh SAY II!Jl~
<br />, ~ SAMPLE
<br />.i%G ii MEASUREMENT
<br />.. 1 ,- PERMIT _.. .. a. a>~_~ i ova:. ., St1 7G _/ :}~.
<br />.. Ur. e'i REOVIREMENT SUIIA ~i.. C IL? CI
<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br />TYPED OR PRp(T~ Ir1WyWp~NM~rnr aw r.[Arwwq MYS..y .lrwlrr OFIIC[R 011 AUT110R1Z[O AGENT A NUMREA
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