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<br />NAME TRAPPER `II'~It=~;, I <t:,
<br />ADDRESS TRAPPER t'It,~
<br />P.O. 6UY 1"7
<br />CRAIG .:U itlti26
<br />FACILITY
<br />LOCATION
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<br />NATIONDISCHARGE MONITORING REPORT IDMRIPDESI
<br />1-16 /7-191
<br />000032115 CUE
<br />PERMIT NUMBER o1scNAAGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY ~ YEAR MO DAY
<br />FROM - TO b
<br />UQ)11 UD4.?I tl4151 /DR-D71 UR491 /i!}.?fl
<br />FoMt Approved.
<br />FOND A? TO PEST EAI"~L'(QRTt4~'?PP~+Ie
<br />(SUER A i) APprovelle~p~r440 -31-98
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<br />PARAMETER 13 Grd Onlyl QUANTITY OR LOADING /I Grd OnlY1 QUANTITY OR CONCENTRATION ~NO. FREOUENtr ~ SAMPLE
<br /> le653/ 15461/ I3B-~51 /16-53 1546/ DF
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS lr7~ei/
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<br />161-6B1 169-]O1
<br />~'.: SAMPLE ~ #YA044i aK<alr tYII ;OPC#t~ ( 12)
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<br />NAMERITLE PRINCIPAL EXECUTIVE OFFICER I cERnFr unoER PENALTY of uw TNAT I NAVE PERSO
<br />AM FAMILIAR WITH THE INFORMATION SUeMITED H NALLr ExAMINED AND
<br />EREIN: AND eASEO ON TELEPHONE DATE
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<br />GOIdOII Petrrs Mr INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
<br />OBTNNING THE INFORMATION, 1 e0.1EVE THE SUBMITTED INFORMATION Is
<br />~ / ~ ~~~
<br />. TRUE. ACCURATE ANO COMPLETE. I AM AWME THAT THERE ARE
<br />SIGNIFCANT PENALTIES FOR SUBMITTING FKSE INFORMATION
<br />INCLUDING
<br />President 6 General Manager .
<br />TMEPOSSIBILITYOFRNEANDIMPNSONMENT.SEEIBV.S
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<br />TYPED OR PRINTED .ndwmuilwn:Rni.en+IrNO/bfwwn enlmN,W6rrsnl OFFICER OR AUTHORRED AGENT CODE NUMBER YEAR MO DAV
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<br />5FT'ILEAbL~ SGLI75 LI?'I7 !SAY ti .". AAIYED FOR >104R,24Hk PRECIP FVf.FT - _°FE ALTFFNA7E LIFIITATIUN.°i UKDFP,
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