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PERMI'I"I'EE NAME/ADDRES3 (Include Pacillry Nmndraarion iJDi$erent)
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<br />NATIONAL POLLUTAM DISCHARGE ELIMINATION SYSTEM (IYPOES) FOTRI Approved.
<br />DISCHARGE IfONITORING REPORT (DMR! OMB No. 20440004
<br />a-re) n~- s) + I N ^ ° Approval expires 05-37-8B
<br />PERMIT NUMBER DISCHARGE NUMBER a, _ „I ,, II ,, f?ELT#
<br />MONITORING PERIOD n!r •-ss,~ ~. F~ rR ..,~ ~c_c-± TnA~L FI I'CH
<br />YEAR MO DAY YEAR MO DAY __ '?"~
<br />FROM 9 n TO ~ ~ ~ arr: ~•~~ n.c~y~F~('77rr~~ .•-•
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<br /> (3 Card Ony) OU4NTITY OR LOADING (4 Card Ony) QUANTITY OR CONCENTRATION NO. FREOUENC SAMPLE
<br />PARAMETER 46-53 5a-61J 3845 (46-53) (54-61 EX OF TYPE
<br />(34Jn AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNRS aNrv.Y51s
<br />6370
<br /> Iszpl 64-68
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<br />V I .:UAL MEASUREMENT
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<br />NAME/TRLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSO
<br />AM FAMILIAR WITH THE INFORMATION SUBMIRED HERE NALLY E7(AMINED AND
<br />IN; AND BASED ON MY TELEPHONE DATE
<br />.. INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPON SIBLE FOR OBTAINING
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<br />, yr, ~J( , ~ THE INFORMATION, I BELIEVE THE SUBMITTED IN FORMATION IS TRUE, ,
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<br />ACCURATE AND COMPLETE. I AM AWARE THAT TH
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<br />NUMBER
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference ell e(fechments here)
<br />;Ei'TL2ArLc SOLIDS LI".I'." eYPLII<S ONLT IF C10YE;s2'3HA ei+f?CI~ F'YENT T~ !'LAIyY^. T+ C'.A.IR 9PPAOYF~ ~Y d)CD,
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