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PERMITTEE NAME/ADDRESS (Grb/rF.elMryNwr/Lee.uon (/D(QGnrrr)
<br />NAME E7~}gC1l~J t')~tdi ~t~'r ',._i...b;
<br />ADDRESS wt~t~ll~t.J~2': {:;~1-i `_-.. ~1_(d ~:~~~ :I!. ~t~=
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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESI
<br />DISCHARGE MONITORING REPORT /OMR)
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
<br />FROM ~ t~; 4 r k '_t t TO ~.a~.; ._. .
<br />Form Approved.
<br />OMB No. 2040.0004
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<br />NOTE: Raad irtstructitxa bafora complatinq this form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO,
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />EPA Form 3320-1 (Rev. 3/99) Previous editions maybe used. ~: j;) ;~ ,;+-;r •r' t)Tt11S~S~ 1;.4-~a~ ;f01•tit. PAGE ~OF
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