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PERMITTEE NAME/ADDRESS (Lrd,bFrJlryNa./Loretlar dDrpnxr9
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<br />LOCATION
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<br />NATIONAL POLLUTANT DISCNMGE ELIMIMATON SYSTEM /NPDESI
<br />DISCHARGE MONITORING REPORT IOMRI
<br />1-761 !17.191
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<br />PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DpY YEAR MO DAV
<br />FROM ~ -1^. L ~ L TD '.. X7.1 .i 1
<br />114771 /I7-73/ 114751 11677/ 178-191 136311
<br /> Form Approved.
<br />~,; ~ I,..I; _. ~ OMB No..2090-0004
<br />' - roJel expires OS•31-9$
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<br />PARAMETER !3 Grd Ontyl QUANTTTY OR LOADING !4 Grd On)yl QUANTITY OR CONCENTRATION NO• FREGUENCr SAMPLE
<br /> (4453 (546!1 (38.461 14653) (5467) E DF
<br />/31-371 X
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<br />MN TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS 167.691 .
<br />(64-681 (63701
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENN.TY OF LAW TNAT I HAVE PERSONALLY FxAMINED MD TELEPHONE DATE
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<br />EPA Fwm 3320.1 108.95) Previous editions mey be used. IREPLACE6 EPA FORM T-0O WHICH MAY NOT BE USED.1 _ PAGE OF
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