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<br />FACILITY
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<br />NATIONAL POLLUTANT DISCMMpE ELIMINATION SYSTEM (NPOf$)
<br />DISCHARGE MONITORING REPORT lOMRI
<br />!1-l51 117-191
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ~'~ _ TO "'• " ~
<br />!16111 l11-131 !14151 !1617/ l18-191 !36311
<br />Form ADProved.
<br />.. ~ ~ ~ ~OMB•No~2040-0004.
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<br />PARAMETER !3 Ord OnlYl QUANTITY OR LOADING !I Grd On1yl QUANTITY OR CONCENTRATION N0. mEGUENCr SAMPLE
<br /> 146-631 !54-61 13905/ !6653 !5461/ OF
<br />l31-371 EX ANALrsls TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS /63691 !54581 159-701
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY EXAMINED AND
<br />AM FAMILIM WITH THE INFORMATION SUBMITTED HEREIN; AND BASED ON TELEPHONE DATE
<br /> MY INOUIIIY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />EPA Form 3320-1 108.95) PrevlouB edmone may be used. (REPLACES EPA FORM T40 WHICH MAY NOT BE USED.1 ~„~ _. /., , ~, ,.T, _ , ~ PAGE I OF
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