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PERMITTEE NAME/ADDRESS pneLLFaeUrryN~a./Loe.rrar (JDIQGrenr)
<br />NAME TRt~e~PER P'IIV`~iZI~fG, Yf.IG.
<br />ADDRESS TRt~f3P~f~ f'~TN~
<br />FACILITY TfdF~PP~I~ MIi`i~
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<br />AT r iV: ~~YMi:'-f`d~? ~. I}U BDIS, PR~~JO~'!
<br />. ,. Form Approved.
<br />NATIONAL POLLUTANT OISCHAROE ELIMINATION SYSTEM ((NPDES/ OMB No. 2040A004
<br />DISCHARGE MONITORING REPORT /OMR) ~ ~ SDP
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<br />PERMIT NUMBER olscNAROE NUMBER ~- _ ~.-1 i~¢~i_ i'~DF"FaT
<br />MONITORING PERIOD OZ~~Hf~i~CE 'i'D A,ST ~"f.._C#i"flE OU{-~i'i
<br />YEAR MO DAY YEAR MO DAY
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<br />NOTE: Rud II»trutaione before comp tiny this form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO,
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<br />EX FREQUENCY
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<br />TYPE
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER ' "^'ty ° er pens ty o taw th.t mb document end ~H sttrchmenu were
<br />prepued under my directbn or mpervgion In aemrd~na with ~ system des!`ned TELEPHON E DATE
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<br />EIONATURE OF PRINCIPAL EXECUTIVE 1
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<br />TYPED OR PRINTED Ineluain` the poalbillly or ene and ImpAwnmenl for knowinL rldaUo~ OFFICER OR AIJTHORIZEO AOENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Ref~renctr Mt a.ttacnments nerd
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<br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. ~~'~~i~, f~4~~~~14Ttt1. PAGE ,AF
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