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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM MPDES) Form Approved.
<br />DISCHARGE MONITORING REPORT IDMR~ OMB No. 2040-0004
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence ell etmcnments Here)
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<br />/EPA Form 332o-1 (OS-95) Previous editions may not be used. (REPLACES EPA FORM T-30 WHICH MAY NO7 BE USED.) PAGE OF
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