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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) FORM AppfOVed.
<br />DISCHARGE MONITORING REPORT (OMR~ OMB ND. 2040-0004
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<br />EPA Form 33241 (118.95) Previous editions may not be used. ~ ~ (REPLACES EPA FORM Td0 WHICH MAY NO7 BE USED.) ~ ,+ ~ „ R / ~ ~ ~ r T 7_ T c 7 f' PAGE OF
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