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PERMITTEE NAME/AOUHtaa I b.nuur
<br />F~rlliry N,ne/Lxular Ir elrfurm) DISCHARGE MONITORING REPORT 1 Un7H1
<br />NAME-~~tl COg)„_CU-L~~8 ~1.)----- (7-16 rl7-IV) t1l tiUli
<br />ADDRESa 1300 _ UTH YALE____ __{~~~~r''~~~~~~ _ CCOuUU UUS A (~UBfi nw)
<br />-_-1P~iAGSTAFF -~----- Ir~yvyv.y_- PERMRNUMBER PRCHI.,Y[RVHC[• F' - FIN.1L
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<br />FDAIt-Opplpved. •
<br />OMB No. 2040-0004
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<br />----------------------- MONITORING PERIOD u•.I ~.un narn -tv--izL1>o/-o ni-~.n~Ln
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<br />---------- YEAR MO DAY YEAR MO DAY ~~
<br />LOCATK)N ~'~(t~CA-V(~ ~NSQ~------- FROM ) TO , V > {I ;1;- NO i15CHARGE ir}O
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<br /> (l C71rd Only) ' GUANTRY OR LOADING (+ Card Only) QUALITY OR CONCENTRATION
<br />FREOIIENCY
<br />PARAMETER (16-51) (5+-61) (38-+5) (+6-Jl) (5+-61) NO.
<br />EX
<br />ANALY56 SAMPLE
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<br />' AVERAGE MAXIMUM UNRS MINIMUM AVERAGE MAXIMUM UNITB 167lS) 161b81 169-70/
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<br /> MEASUREMENT
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<br />tUSPE@D8D MEASUREMENT
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<br />1@EOtl EYT@-GRAY M$T EABVREMENT
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<br />3FFLUENT GROSS YALU ^E°°.'REMaT
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<br />(AS FE) MEASUREMENT
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<br />)ISSOLYhD MEASUREMENT
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<br />I S U A L MEASUREMENT
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<br />DISCHA@G:i IS ALLOMED FNOM 1'NIS POINT--SEE Hd'LIO:~ALG, Pete: 1G.
<br />EPA Form 3320.1 (Rev. 9-88) Pr@V%DI/S rbifiMS may be used IREPLACEg EPA FORM T-10 WHICH MAY NOT BE USED.1 ,T , ~ I ^ 1 PAGE OF
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