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<br /> Poem Approved.
<br />FERMITIEE NAME/ADDRESS pweYAfa[tllgNrr/Laeaelon (/D(Qlswu) NATIONAL POLLUTANT OISCNMOE ELIMINATION SYBTEM_ fNPOESI
<br />DISCHARGE MONITORING REPORT (D R! OMD Nb. 2040.0004
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Refainoi N/ ottsenf»ints nenl
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<br />EPA Form 3320-1 (Rev. 3189) Previous edldona maybe used. ~t ~, -t.i / / ~~TI1,I~~St~4-g81~[~ ~Ortt1, PAGE ~OF
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