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<br />NATONAL VOLLUTANT DISOHAROE RJMINATION sTBTFM (NPDESI Form Approved. ~ ~ -
<br />DIaCHAROE MONITORWO REPORT (OMR i
<br />7-l6 I7-I9 ?, I I' ~; ~.~ ~ I; ~ •~~~:,+- TI-,OMB,No..2O130-0004
<br />r- ,,, ,,, ,. ~ ~ r , +.•„ Approvd'e~{rs>~~OS'31-98
<br />PERMIT NUMBER DI9:NAAOE NUMOQ c _ }'? !; f. L 3 ~ ( 1
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<br />NAMERRLE PRWCiAL EXECUTR/E OFFlCER 1 cmn
<br />AM FA Fr u+DEt. FENAITY of
<br />MIVAR WI7N THE INFOR uw THAT 1 NAVE Fmso
<br />MATON SUOMITTFD N xAUr ExAMINED AND
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<br />AND BASED ON TELEPHONE DATE
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<br />MY INOUBV OF TN091 MDINDUAL•4 IMMEDIATELY RESrON9eLE FOR
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<br />EPA Form J72O-7 IOB-86) Pnvioue editlom mey be Deed. (REPLACED EPA FOAM T-0O YVFRCH MAY NOT BE U8ED.1 ~ , ~ ~ ,I ~ 7 ~ r ~ y _ ! F PAGE , OF
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