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PERM`1TEE AME/ADDRESS pnclude Facifiry Nome/Locarian fDi$erenr) NATIONAL POLLUTANT DISCHgRGE ELIMINATIONSYSTEM (NPDES)
<br />NAME DISC1fARGE MONITORING REPORY MA
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<br />Form Approved.
<br />OMB No. 2040-0DD4
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<br />P. 0. R 7 ~ 5 R -" PERMIT NUMBER ISCHARGE NUMBER r• - r` f • t • • 7 F
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<br />FACILITY "!~~-~ MONITO 1NG PERIOD
<br />LOCATION ~ YEAR MO DAY YEAR MO DAY
<br />FROM 99 pt1 D :~TO 9D 05 -3O ri'T ^T SC'10.PG t-':
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<br />(3 Certl 0^NI QUANTITY OR LO _ G w CarTl Ony) QUANTITY OR CONCENTRATION N0. FREOUENC SAMPLE
<br />PARAMETER
<br />(46-59) (54-sf ~ 3&45 (4853) 54-s7) EX OF TYPE
<br />(32-37) ~ ANALYSIS
<br />AVERAGE MAXIMU UNITS MINIMUM AVERAGE iMAXIMUM~. UNITS feae3l (s+-sB) 69-70
<br />[~N SAMPLE -~^rs.C? FLrSrt a ~:]^ar:ti ( ~^) Q ~-I
<br /> MEASUREMENT ~ R Q
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<br />SOLLUS, TOTAL SAMPLE '~'R"-!' a:`acz.-: ~~ pa>R~-r ( 1 0) 3/ G
<br />SUSPENDED MEASUREMENT
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<br />TOTAL It£C04ER-~1.F, MEASUREMENT Q~~, 17 / U~q
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<br />EFFLUENT GROSS V4 LiT_ REQUTAEMENT ;~h ¢K nr/ ~
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<br />TOTAL RECD~P,R0.9LF MEASUREMENT L Q.OI C O.O ~ r~I
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<br />FLOg, IN CDIIpUjf '1a SAMPLE ( '77) h:t~••r.~. qr:,r^.r~ro p~.;.;~~ /~ +d
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<br />T H k a T$ t: A T'1 S EI T ?LAN 7 MEASUREMENT 2 '- Z V 9 ~ S T
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<br /> MEASUREMENT
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<br />E 970- B70-2712 28 99
<br /> POSSIBILffV OF FINE AND IMPRI SONMENT. SEE 1e U.S.C . 41DD1 AND 33 U.S.C. SIGNATURE OF PRINCIPAL EXECUTIVE
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
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<br />EPA Form 3320.7 (OB-95) Previous editions may not be used. (REPLACES EPA FORM T-00 WHICH MAY NOT BE USED.) PAGE OF
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