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PERMITTEE NAME/ADDRE95 ryrYb FrmyNaw//xanm pDlB...n9
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<br />ADDRESS ~ - ~ ~ - - - - ~. L ~ 'r =
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<br />LOCATION
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<br />NATIONAL POLLUTANT DI9CHMOE ELIMINATON 9Y9TEM lNPOESI
<br />DISCHARGE MONITORING REPORT (DMRI
<br />11-161 17-191
<br />yPERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAV YEAR MO DAV
<br />FROM ~ TO v ~ ter, i',
<br />176711 /77-731 /II-151 /16171 118-19/ /3631/
<br />Form Approved.
<br />~, ;~ ~, + ) , ~ " -, OMB Not 2040004
<br />Approval expirep 05-3 i~
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<br />PARAMETER l3 Grd Onlyl QUANTITY OR LOADING /I Grd Onlyl QUANTITY OR CONCENTRATION NQ FREOUENCV SAMPLE
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