PERMITTEE NAMEIADDRESS (Include Facility Name/Locarion if Different)
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<br />Form Approved.
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDES) OMB NO. 2040-0004.>
<br />DISCHARGE MONITORING REPORT (DMR) _ ~ ~tt~~;"'
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<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0, FREQUENCY
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<br />NAMEITITLE PRINCIPAL EXECUTIVE OFFICER I certify under penalty of law that this document and all attachments were
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<br />EPA Form 3320-1 (Rev. 3/99) Prewous editions may be used. ~2r,:,. .= ' {~7r131S 1'S'a 4-.~~"i'fOim. PAGE ,OF
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