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<br />NATONAL POLLUTMT DISCNMOE ELIMINATION SYSTEM (NPDE$l
<br />DISCHARGE MONITORING REPORT IDMRI
<br />13-76) 17-191
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<br />^ PERMIT NUMBER DISCHMGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 'I ~; I)U 11 TO ..: ~ :. . n
<br />no-211 r22-23r ras-251 rs~an ne-a9i r3o-srl
<br />Forth Approved.
<br />_ OMB No. 2040-0004
<br />?i I ~ . :;` '. '14Apprbvel expires 05-31-98
<br />eJ-~r~tR~CEIVED 1~~1'~'
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<br />AEG-17 2000
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<br />NAMEAITLE PRINCIPAL EXECUTNE OFFICER I ccnnFr unDER PENALTY of uW THAT I NAVE PERSONALLr ExAMweD ANO TELEPHONE DATE
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<br />OFFICER OR AUTHORLZED AGENT AREA
<br />CODE
<br />NUMBER
<br />YEAR
<br />MO
<br />DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLA I IDNa lrrererence en ertscnmenrs here/
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<br />EPA Form 3320-1 108-96) Previous editions meV be Used. (REPLACES EPA FORM T<0 WHICH MAY NOT BE USED.( PAGE OF
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