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<br />NATIONAL FO LLUTAMT DIICN LARGE ELIMINATION SYSTEM (NPDEJI
<br />DISCHARGE MONITORING REPORT /DMRI
<br />a16 n-ro ' "° ~ ~, Form Approved.
<br />CGI~.,~iiSu L'.l A (5G~;: ~~+}OMB(Na~2040-0004.
<br />PERMIT NVMi[R Dlcc nw wcc noNlcw ~- - ~'i p.(L Approval expires 630-91.
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM J:J .: e. I.l TO 7.i ..- •:J 'Z•M1 :• I'll I:L S:::i r.:iC~ j j :; r,.
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<br /> (J Card Only) OU ANTITY OR LOADING (4 Card Only) pU ALITY OR CONCENTRATION
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