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STF.Y£N30N PRESIDENT 110.11/ I711J1 111.151 126.7) lax :9r IJa l/ <br /> (J Card Only) QUANTITY OR LOADING (1 Card Only) QUALITY OR CONCENTRATION <br />NCr <br />FREO <br />U <br />$AMPLk <br />-ARAM[TER (Ib-JJ) (Slbl) (JBaJ) (16,75) (Ji6!) NO, <br />E% D <br />r TrPE <br />(JI-J7) •NALrRIS <br /> AVERAOE MAxIM UM UNITS MINIMUM AVERAGE MA%IMUM UNITS <br />b7E)) <br />(61~it1 <br />169.70) <br />PR 6AMPLE ###### iv#i•vY.{ ( ) i•+ i'vJbi # ( 12) <br /> MEASUREMENT <br />00400 1 D 0 PERM ITS.:. ..#{A#¢##a' ###'S~[fi', +`'v 5.4: •..: <br />~:" 2~I~h~'~T#": .9 <br />. Q. ',~ : •, ~ERLY RA8 <br /> <br />EFFLUENT GROSS YRLU REOUIREM ENT ~ <br />~". ..::-,... 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FOOTVOT(? F/, PAGP. 3. QRTRLY SAI7PLING INSTRIICTLONS--FOOTNUT° D/. <br />EPA Form 3321}1 (R[v. Y-B8) PrBVlous editions may be used. IReFLwc es E.A FowM r-Ie WHICH MwY nor Re useo.l Pwee of <br />nnngn/~7.C5t ~-1241 1 <br />