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<br />PERMITTEE NAME/ADDRESS (tweWriaHMyNwra/Loearren (JD(QGnnr)
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM ((NPDESI
<br />DISCHARGE MONITORING REPORT (DMRI
<br />~CD{~G'321~~a fii? i"°i
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM t~7 30 U1 TO O'7 Sc~. D1
<br />Form Approved.
<br />OMB No. 2040-0004
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<br />~{.1N©~'i='1tsl~fi{i~ !=dT~' TD UAIi GUL.C!-4
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<br />NOTE: R~~d Irntructlora boftx~ compbtinp thb form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION N0,
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<br />TYPE
<br /> ANALYSIS
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br /> MEASUREMENT
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<br />~US>,°~i~#r7~A MEASUREMENT
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<br /> MEASUREMENT
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<br />-1-G•~I~U ! 1~lE,a,-~'fyj,T~,-~_~q-( p}_,t~]~j MEASUREMENT
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<br />NAME/TITLE PRINCIPAL EXECUTNE OFFICER ' "^"y ° er pem ly o law that mh document and all attachments were
<br />prepared under my direction or superrhion In accordann with a system desltned TELEPHON E DATE
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<br />TYPED OR PRINTED Indudln[ the pamlbllity of Rne and ImprNonment for knowinE rldaUoln OFFICER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRI/IfInCI s/l ~tt~chm~nts h~r~/
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<br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. {+?Q'~-~7~i %C~¢.;~~=~i~{~ttp, PAGE .AF
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