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PERMITTEE NAME/ADDRESS (1.rYJ. FrWryNaJl.ocenm (/D~bmq
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<br />NANONAL pOLLVTANT OISCMMOE ELIMINATION SYSTEM /NPDESI Form Approved.
<br />DISCHARGE MONITORING REPORT IDMRI .. .- yO1d8 No-.,2040-0004
<br />17-1 d) 117-191
<br />?ry -, .., I y l n~'+ S f,. ~, ..^ ,) Approval expires 06-31-98
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<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM TO , .... r ... I Jai .: ..
<br />170-711 U7-131 174751 /76771 118-791 !34311 NOTE: Raed Inetwctiane Ee1or comp etinp this Corm.
<br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING !I Grd On/Yl QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> 105-531 154611 138-15) !4653/ 154611
<br />EX OF
<br />137-371 ~ ANALYSS TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS le7~eal /61-681 169-701
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<br />NAMElTITLE PRINCIPAL EXECIlTNE OFFICER ~M FTAMILIM WITH THE I vowMAT10NTSUBMITTpED SNEAEINrAND el~sio orDi /~ TELEPHONE DATE
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<br />iIIIS OBTNNIMG THE INFORMATION, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference el/ eMechments here/
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