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PERMITTEE NAME/ADDRESS (I~1ude FacWry NmndLownnn jprgrrenq <br />NAME THAPPY. ~' "I•. ['+~-~ ]~'. <br />ADDRES9p F A P P^ a ' •: ~' <br />p.7. 111° LV~ <br />CyA [G ^1 K~ r. `y <br />FACILITY <br />LOCATION <br />NATIONAL POLLUTANT DISCHARGE ELMINATION SY$TEY pJPDES) <br />DISCHARGE MONITORING REPORT (DMRf <br />(2x81 pT- 9) <br />^~ )1 c n n <br />PERMIT NUMBER DISCHARGE NUMBER <br />MONITORING PERIOD <br />YEAR MO DAY YEAFl MO DAY <br />FOnY ~ Tn n D T 7 7 7 <br />•Tly~c <br />~ - oT• yT <br />Forth Approved. <br />OMB No. 2040-0004 <br />Approval expire$ OS31-BB <br />T"1° !1?~A <br />K1^..w <br />_... n1 •~r eru BOrn ~~1~ 'kR4 <br />SL.°.' L.A.L, Pp 1-9, oOP OcrA[LS DF T4ST P4D~EDIIDS, ccoUv* r•^SD _ S•TpTT""T^~C. ^iT'"" F^T7"'ATF wuT^I: - <br />1.5T!~8L T i S'1:' '1R Tp`iT 'IN;fF[SNS, IIyO RYTA79 q"UTF. T7XT'T*Y TDgT D4hTIAT ~~Dr T^ prof wti'~4 vv.. TC~'.T,;.- ~,,- <br />EPA oim 330=7 (8-95) Previous a i'o'fis sy not b9 us ` ( PLAC S P FO T CH MAY NOT BE USED.) ~ ~ Y Y a ~ ~ a [ ~ ~ ~_ ~ j I P PAGE 1 OF I <br />