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<br />NAME t~i'J U':1 ];'y' V'iAV~L ~ [. ~1!i$T. lC•
<br />ADDRESS T ,ti : I - S 1 •
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<br />FACILITY
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<br />„T T,:~ Pf'~.:i 9Gn L_ ITi.3TTtir VP :7F i.ONS
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (IVPOf$f
<br />DISCHARGE MONITORING REPORT IOMRJ
<br />/2-161 J7-191
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<br />PERMIT NUMBER DISCNMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM U (; ~, 1 j ~ TO ~; ~ U .)
<br />/2621/ 111-231 /1<-151 12627/ 178-19/ !3431/
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<br />Form Approved.
<br />OMB No. 20460004
<br />Approvd expires OS-31-98~
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<br />NOTE: Read InstruetlaEU bslors completlnp this form.
<br />PARAMETER 13 Grd 0n1Y1 QUANTITY OR LOADING !< Grd On/Yl QUANTITY OR CONCENTRATION NO FREDUdcY SAMPLE
<br /> 146531 {5481 138-eb 1<B53) l5<-8J1 E OP
<br />/32-371 X
<br />ANALY93 TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS !eT-QJI /8/-881 {89.701
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<br />N ME/1/ITLE PRINCIPAL EXECUTIVE OFFICER I cERnFr ukDER PENALTr of uw rNAT I NAVE PERSONAUr ExAMINED ANp TELEPHONE DATE
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<br />TYPED OR PRINTED re or rtr.hwwn ielplrmwtt W MMrn a ngnen rwl a y.wra) OFFICER OR AUTRORI2ED AGENT CODE NUMBER YEAR MO DAY
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<br />EPA Form 3320-1 OB-951 Previous editions mey be used. (REPLACES EPA FORM T-40 WHICH MAY HOT BE USED.I - 1 - / , ~ ~ .~ 1 . I _ i ~) y T PAGE 1 OF
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