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PERMITTEE NAME/ADDRESS pnclude Fnci6ry NamelGocarion ijDigerenU
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<br />FACILITY
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<br />NATIONAL POLLUTANT DISCHARGE EUMINA~I¢1N SYSTEM (NPDES)
<br />DISCXARIGE MONITORING REPORT (DMR;9)
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<br />PERMIT NUMBER ~ - HARGE NUMBER
<br />.. 1410NITORING PERIOD
<br />YEAR MO DAY YEAR MO pAY
<br />FROM - 1 TO L ~
<br />(2621) (22~2J1 (24~z5) R6~21) (2829) (J0-Jf)
<br />Form Approved.
<br />~. i :. ~ F OMB No. 2040-0004
<br />Approval expires OS-31-98 .
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<br /> (3 Card Only) QUANTITY OR LOAbING ;jL~ard On/y) QUANTITY OR CONCENTRATION NO. EREOUENC SAMPLE
<br />PARAMETER (46-53) (54-61) (38-45/ (d6-53) (54-61) E% OF TYPE
<br />(32-37) AVERAGE MAXIMUM UNITS INIMUM AVERAGE MAXIMUM UNITS
<br />r6asJ) ANALYSIS
<br />(6a-69/
<br />69-70
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<br />(A~ FE) MEASUREMENT
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence all attachments here)
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<br />EPA Form 332o-t (OB-95) Previous editions maynot be used. (RE~PA FORM T-40 WHICH MAY NOT BE USED.) PAGE OF
<br />_ GGC17/CCC117-lEiC 7
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