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<br />Form Approved.
<br />NATIONAL POLLVTANT DISCHARGE ELIMINATION SYSTEM //NPDESI OMB No. 2040-0004
<br />DISCHARGE MONITORING REPORT /DA4R1 {~ ,~', ~[~~
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<br />TYPED ~ pREy~p Ineiudint the posslbiUty of ene and Imprisonment for knowln~ rldrrlloRS. OFFICER OR AUT110RIZE0 AGENT CODE NUMBER YEAR MO OAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Raf~ranc~ s/l attacnmants h~ra/
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<br />EPA Form 3320.1 (Rev. 3~) Previous editions maybe used. ~®~~~i fO~~~'Q~~~. PAGE ~OF
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