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<br />DISCHARGE MONITORING REPORT (DA~R1 vJ 1 ~ ~ [.
<br />PERMIT NUMBER o1xH~no[ MvMeEw C - !:' 1 )r A L
<br />Form Approved.
<br />OMB No. 2040-0004
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<br />COMMENTS AND EXPLANATION Or'-nT vwLn I wns Ifceirrrence en erracnmenra Here)
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<br />EPA Form 3326.1 Rev. 3199) Previous editions maybe used. 1 3 $ 4part O PAQE OF
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