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<br />J Form Approved.
<br />MATT DAIBCHARdE MONIMTORINa REPORT /~DMR1pDES/ oMe No. 2040-0004
<br />7Ii,(,1.1i
<br />PERMIT NUMBER aseluwoE NtlhteEn ; - ~ I I iT L 'L P LT
<br />- SvT PCt~lr TO Ca1F~3C~i JUg~Ci CAY~1
<br />MONITORING PERIOD
<br />YEAR MO DA YEAR MO DA
<br />FROM .) ;! TO b l ~ , : °., NC LISCHA'i(Gfr ~ :'':.:
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<br />
<br />PARAMETER
<br />QUANTITY OR LOADING
<br />QUAL
<br />ITY OR CONCENTRATION NO.
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<br />E FREOUENCr
<br />OF SAMPLE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS X µN'Y~$ TYPE
<br />"iI SAMPLE .. ...... ( ll) -
<br /> MEASUREMENT
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<br />5UL1liS, 5'TLL"'ALL SAMPLE :;:. ..., . _ ... ....... ( 2~
<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br />~ REa41REMEN~t .
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<br />V I S U 'cl 1. MEASUREMENT
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<br />DATE
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<br />EPA Form3320-1 (Rev. 3195) Previous editlorts may 6a used.i? J ; _~ il /')~S +1t~s18 ~ ~~i Tg~' PAOE~OF
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