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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPOESI Form Approved.
<br />OtSCHARGE MONITORING.REPORT lOMRI
<br />11-rel 1;7-fPl G ~~7 1` 1 J L .~ T U .r j OMB I>Io., 204-OQ~4
<br />jCpprovel a fires 05-31-98
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<br />10.11/ /21-231 /1r-I5I . ~I2G271 /IB-?9l 13637/ NOTE: Reed instrucliaru befor eompletin8 thw form.
<br />PARAMETER ~ /3 ~C.id OnrPl OUANTiTY R IN,G .onlrl QUANTITY OR CONCENTRATION NO. FREQUENCY SAMPLE
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<br />ANALrsTS
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<br />COMMENTS AND EXPLANATION OF ANY VIOLA TIVNS lFfe/erenCe e/l ettecemenu Oere!
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<br />E Form 3320-1 108.951 ~ Previous editions mey be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.( PAGE OF
<br />UU3b3/9b1GU1-1311 j
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