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<br />FACILITY
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR~
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<br />.190714'1 ^'1T ,
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM " '~~° TO -~~
<br />(20.21) (22-2J) (2425) R&2]) (2e-29) (30-311
<br />Forth Approved.
<br />T T ., . OMB No. 204o-0004
<br />Approval expires 05-31-98
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERRFV UNDER PENALTY OF
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<br />PENALTIES FOR SUBMITTIN S IMMEDIATELY RESPON
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<br />ISONMENT. SEE 18 U.S.C. S 1001 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE / /
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (RerB]Bnce el/ edeonments DereJ
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<br />Epp Form 3320.1 (118-95) Previous editions may not be used. (REPLACES EPA FORM Td0 WHICH MAY NOT BE USED.) n r,T 1t 7 / 0 7 n :11 ~-? 5 ~ II PAGE T OF
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