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PERMITTEE NAME/ADDRESS p,.el,dr fxWyNwWloculm dDllR r,p
<br />NAME ~. '/ ^ .. r ~. T - ~ ,
<br />ADDRESS M I 'r .. _ ,. + .' ~ - + .. ... '
<br />FACILITY
<br />LOCATION
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<br />NATIONAL POLLUTµT DISCHMOE ELIMINATION SYSTEM (NPDESI
<br />DISCHARGE MONITORING REPORT lOMRI
<br />II-I6l I7-191
<br />PERMIT NUMBER DISCNMGE NUMBFA
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAV
<br />FROM '' ~ U ~! TO 14 ' ~
<br />II6111 l11-131 !14151 f1E171 l18-191 !36311
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<br />Form Approved.
<br />m ,OMB-NOa 2080-0004c ;
<br />Approval expires 05-31-98
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<br />' NOTE: Raad Inatructiona ba}orl eo plstinq thin }orm.
<br />PARAMETER !3 Grd OnlYl QUANTITY OR LOADING 10 Grd OnNI QUANTITY OR CONCENTRATION ND FREQUENCY SAMPLE
<br /> /I6-531 !54611 l3B-051 !46-53 !54611 EX DF
<br />l31-371
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
<br />MINIMUM
<br />AVERAGE
<br />MAXIMUM
<br />UNITS
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<br />ANALrss
<br />!64681 TYPE
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<br />/69-701
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<br />NAME/TITLE PRINCIPAL EXECUTNE OPFICER I CERTI FY UNDER PENAITr DF uw THAT I NAVE PERSONALLY EAAMINED AND TELEPHONE DATE
<br /> AM FA MIUM N1TH THE INFORMATION SUBMITTED HEREIN; µD BASED ON '
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<br />~ MY INQUIRY OF THOSE INDIVIDUALB IMMEDIATELY REBPONSIBIE FOR
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRS/erence a// sftschmenfa hare!
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