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<br />IOCATION _`____-_-__
<br />ITTI. .ITM GTr1Y CA
<br />M IITION NL rOLLVTANT OIfCN NgOF ELIMIN wTIOM FVSTEM (NPDESI
<br />DISCHARGE MONITORING REPORT /OMRI
<br />1 /6 1 x~
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<br />PERMIT NUMRlR ~r xvM•rw
<br />MONITORING PERIOD
<br />YEAR MO DAY YE(A~R M(O~~(~ DAY
<br />FROM 96 G~ Ut TO J8 VJ .JO
<br />!1010 11113/ RLISI /16171 118191 /3031/
<br />P; I N O h Form Approved.
<br />QOM No 1rOr40-0004.
<br />F U S F I N A L'4pp°va~ezpues 6-30-91.
<br />f:Z:+E i TO N0. T_HO!'PSC9 RIVER
<br />NOTE: Resd~iitruetlolu 6elore lOMpletinp this form.
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<br />PH BAMPLE 00¢?TF OI #AO+FOr3 #K: tE00# ( LZ)
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<br />NIFICANT PENALTrES FOR SUBMITTING FdLSE INFORMAiIOH INCLVpNG
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<br />YERHITTEE MU5T NOTIFY Ri~CD 3G DAYS PRIOR TC COMBINING DISCiIhtiGES-PART I.A.4, PG IY. N06THLY SAMPLING FOR
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