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rERMITTEE NAME/ADDRESS (IneYi F,eLtry Nn.w'L«ut,w (/D~L.rwq
<br />NAME
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<br />NATIONAL POiLUTANT DISCNMOE ELIMINATION SY4T EM //IV~fSf Form ApOrov"-'d.
<br />DISCHARGE MONITORING REPORT IDMRI - , , _ OMB No 2040-0004
<br />PERMIT NUMBER ascNAnOE NLtMeEn - = ~ ~ ! ~R ~ ~ 1`~'O~
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<br />MONITORING PERIOD
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<br />FROM TO ---# ; i. ~.,'
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<br /> PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO• FnEOUENCr SAMPLE
<br />
<br />EX of
<br /> ANAr,vsls TYPE
<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br /> MEASUREMENT
<br /> PERMIT _, . ,. ,. .:. ..... ... - .. ... .
<br /> _ REQUIREMENT ;,.;-. ; .. .. i~llJt„ r
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<br /> MEASUREMENT
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<br /> MEASUREMENT
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<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT
<br /> REQUIREMENT
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT -
<br /> REQUIREMENT
<br /> SAMPLE
<br /> MEASUREMENT
<br /> PERMIT
<br /> REQUIREMENT
<br /> SAMPLE
<br /> MEASUREMENT
<br />PERMIT
<br />REQUIREMENT
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<br />Imprl,ontnrnt for -nowlnt •Id,tlotn OFFICER OR AUTNORIZEO AGENT CODE NUMEtER YEAR MO DAY
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<br />`~'•~iF2 PRECiF'
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<br />Y~'tOVED p'+' rJr3C0
<br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. "i!) Jt; , Thls i~_a 4-park fium. PAGE OF
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