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PERMITTEE NAME/ADDRESS 0.eY1. FsINryN~Jlaanw lJD~..wO
<br />NAME :. U e I .. ~ .. '.. ": I
<br />ADDRESS H'.7 ~ L ;:. ', ~ ~ ` 1 ~ , ,
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<br />FACILfTV N 0 ...., ' ` .. .... ,
<br />LOCATION
<br />NATIONAL POLLUTANT DISCHARGE ELMINATON SY9rEM jl~rYicSi
<br />DISCHARGE MONITORING REPORT /OMRI
<br />1-161 17-I9
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<br />PERMIT NUMBER DISCHMOE NUMBED
<br />~- ~ `} ` ' MONRORING PERIOD
<br />YEAR MO DAV YEAR MO DAY
<br />FROM t ~` ' ~'~ 1 TO 4 :: ) ? ', ~
<br />' r . ' - /261 /1 l12-131 111-151 !76/71 lI8-191 1363/1
<br />Form ApproveD.
<br />Q .2040,-0004, ,
<br />~ e ~b ovW expires 05-31-98
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<br />NOTE: Reed ~IrrWetlarr before(cEII1pleUnp~tllb lorn3(
<br />PARAMETER !3 Grd OnIYI QUANTITY OR LOADING !4 Grd Ontyl QUANTITY OR CONCENTRATION NO, FREOUFNCY SAIVIpL~
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<br /> !46531 5x51 l38-151 1653 51-61
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<br />l31-371 AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS m1-eal ANALYSIS
<br />151-581 169-701
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTI FY UNDflI PENALTY OF lAW THAT 1 NAVE PERSONALLY E%AMINED AND TELEPHONE
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<br />AM FMAILINi VATH THE INTOII
<br />MY INOWRY DF THOSE INDIVIDUKS IMMEDIATELY RESPONSIBLE FOfl
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