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P[RMITT[L NAM[/ADDR[[[ On[ludl <br />Fardily N[melLlxLrbn IJdIJJellnrJ <br />JLS_~..L1LxY1.L~JgI~~.Ai~L' 1iY-_-_-_ <br />---Ili ~T:PLr_IFL~ltl~1----_ <br />nwnow wL rouurANr oncH Awc[ EuMmwnoN arsr[M JNPDE51 <br />DISCHARGE MONITORING REPORT lDMRI <br />Lld 1~ G j-11) ~( <br />PERMIT NUMD[R oncwwRU nUY REw <br />I' Fi;IAJ. <br />Form Approved <br />H (OhJ 9'I No. 2040-0004 <br />E:plrea 9.30.91 <br />--- -"`~"" ~.Y_1J.)L-ice - ,..V l L.. ,,,[ <br />MONITORING PERIOD ~ ~ ~ "~`'~' <br />~wclurr <br /> <br />~_-_-___-__----_ <br />-- YEAR MO DAY YEAR MO DAV _ <br />LOCATION <br />FROM /.: V I./ ro .,.~ .,a::} HG GTSCH li{f; G. ) ~',: {:{: <br />+ <br />NOTE: Ra[d instruction Wfors mpletinp this form. <br />(I t.: U I ~: II P. H ~ (. 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