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<br />DISCHARGE MONITORING REPORT /OMRI
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<br />PERMIT NUM [[R Pn<.IAwc[eoMPu
<br />MONITORING PERIOD
<br />YEAR MO OAy YEAR MO OAY
<br />FROM )'I ~ :.r Il= TO I ( 1 1 i
<br />110311 lSI~13/ (11. J/ (161 / 178:9/ I 0 !l
<br />'11':~r Form Approved
<br />~ ; rt u r; 27 ~) ~'rl OMB'[No. 2040.0004
<br />F- P I I! h L E%plrea 9.30.91
<br />i,1F!F.POI)iE iEUI TO +'AYLI)° '.'t'O"~
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<br /> (3 Card ONy) QUANTITY OR LOADING (I Card Only) QUALITY OR CONCENTRATION FR EOUEN[Y BANPLE
<br />PARAY[T[R (I6-13) (3~fi)) I3AaJ) (~6J3) lJ4dl) NO
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<br />NAM!/TITLE PRINCIPAL E%[CUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I NAV[ P[RSgNALtY [IAMINEO
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