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<br />NwnoNAL rouoT wl. ~': scN AwcE EuYmAnoN •rsTlM INPDESI
<br />D19CNARG~~ ;ONITORINt3 REPORT /OMRI
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<br />MONITORING PERIOD
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<br />/10~Il1 /II-131 (1115) /16171 /18~1y1 Il0. I)
<br />"'. I tIn ~ Form Approveo-~
<br />(51I h l' y H) ~) Obfa :No. 2040-0004
<br />F - FINAL Explrea ~ 9-30.91
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<br />NOTE: Read instructions before eompletinB this form.
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<br />OF LAw THAT I NAVE wER50NALLr EAAMINED
<br />- TELEPHONE ~ D A T E
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<br />AND AM FIMILIAR IYITN THE IMFOPMATION SUBMITTED HEREIN AND GSED -~ -
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<br />51
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<br /> NIFICINT PENALTI[5 FOR SUBI.IITING FALSE INFORYATQN WCWOWG YY (
<br /> THE PO'S1&LITr O FINE AND IYPR50NYENT 5EE IB USC f 1001 AND ~ /
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<br />TYPED OR PRINTED e.d...my.~w~aw,w,PR.mw~.ur.,/Mlu..n AmnnrA. and.i.nr..~ OFFICER OR AUTHORIZED AGENT NUMBER YEAR MO DAY
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