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<br />LOCATIOM
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<br />RwnoNwL PoLwTAwT DI[twwwoE euMlnwnory •Y ET[M lNPDEJI
<br />DIBCHA'ROE MONITORING REPORT lOMRI
<br />116 ,, 1~
<br />PERMIT NUM BER DI,<HwwcF w~wrrw
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM 9 G 0 TO 9 0 3
<br />11011/ l11~13/ 111131 !1 ~ l (IB~1 / ( l
<br />,r, I t:0 R Form Approved.
<br />(S U B A N W QMB plq.lQq¢0-0004.
<br />fl - I ti T E ~,yprloval expires 6-30-91.
<br />SUkFACD RUNOFFF,SPGILS SPRG aTR
<br />#~ NO DISCHARGE I ~~+~
<br />NOTE: Rssd inttruetiom ha ra'L3mp atinp this form.
<br /> (! Card Only) QUANTITY OR LOADING (1 Card Only) OU ALITY OR CONCENTRATION Fw[OU ENCr
<br />BAMPLE
<br />PARAM ETlR (16-JJ) (J161) (3N!) (1663) (7161) NO. DF TYPE
<br />(7137) ~ AHwLYB14
<br /> AVERAGE MA%IMUM FINITE MINIMUM AVERAGE MAXIMUM UNITE 6363) (6168) (6970)
<br />YH BAMPLE
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