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P[RMITT[E NAME/ADO R[BB /(n[/YdG„l <br />Fatdity Name/Locatbn iJdlJJuentJ "g.• <br />- TTLTeT-_--_--__-J--. <br />ADOA[B[ TEL TYnY H~f`/~\I D-~CV NTMCC <br />---'i-D-~-=-- ~ D T c ~ a <br />-wcl a rr_ <br />-------- <br />----- <br />LOCATIOM <br />------- <br />ITTl.. TTN eTnOen ---------- <br />Nwn oNwL roLw Twnr D1scH AwcE urMmwnoN svsrEM (NPDESI <br />DISCHARGE MONITORING REPORT /DMRI <br />I /6 /~ <br />r GT n C <br />r•PERMIT NUMBER ENVrwEw <br />MONITORING PERIOD <br />FROM Y`.^e M10 DU1 " YE99 M12 D 31 <br />/JO:an ))J.Jit /IIJV /Jb.I7r /JA-I91 /!0-l/1 <br />f = <br />Y I h C h Form Approved. ' <br />(SUbR MC)OMBENo~20~0-0004. ` ~ <br />F- F I tl A LApproval expues 6-30-91. <br />POST-MINING fiUh'OFF SFGI PO:rG <br />~#'~ NC LISCHAt1GF yy~(// ;: L.r< <br />NOTE: Ra[d instruetlons bs/ore eb}h~letinq this form. <br /> (! Card Only) QUANTITY OR LO' G (4 Card Only) OU ALITY OR CONCENTRATION FR EOUEncr SAMPLE <br />PARAMETER (Ib-S!) 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