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PERMITTEE NAME/AODRESS(-weY/ri~NhryNw~/Loeurowl/D~Grrnr)
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<br />ADDRESS TRAPPEE~ f"1%i~1~
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<br />FACILITY T~:6~aPPER fi~~~~
<br />LOCATtoN O ~,q I G C Q £3 ~. X25
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<br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SY8TEM NPDESI
<br />DISCHARGE MONITORING REPORT ~D R)
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<br />PERMIT NUMBER ascHAROE NUMBER
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<br />YEAR MO DAY YEAR MO DAY
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<br />Form Approved.
<br />OMB No. 2040A004
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<br />NAMElTITLE PRINCIPAL EXECUTIVE OFFICER 1 artt y u r peen l) o aw lhel lh
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<br />TYPED OR PRINTED Ineludlnt the poalbllllr of One end Imprisonment for knowln~ v1ol~Uom. OFFICER OR AUTHORIZED AOENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION vF nNY vw1.A I wnsatraainc~ sn ~rncnmtrnrs n~r~l
<br />TSS °< TQT~tL. %~tsltl L_%Pi%l"S Inl%L...L_ fl31= WA%V~IJ, g< S~'TTL..~ABL.~ SOL_'%.C}S L..II~I%7 s~,Pf'L_%~I} FOR <~=i(JYR, ~~31-I~ PEv~C7P ~V~IVT-
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<br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used.
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<br />PAGE ~F
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