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PERMITTEE NAME/AODitESStlwa.rF.twyN.../t,er.r,.,,~n~..~.,J
<br />NAME
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<br />NATIONAL 70LlUTANT DISCNMOE fl1MtNAT10N SY9TEM NPDESI
<br />DISCHARGE MONITORING REPORT /D R/
<br />PERMIT NUMBER DISCHMOE NUMBER
<br />MONITORING PERIOD
<br />YE R MO DAY YEAR MO DAV
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<br />Form Approved
<br />OMB No. 2040-0004
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<br />EPA Form 3320-t (Rev, 3ry9) Previous edfiors may be used X007 ~ '.'~'}Iis is a 4-part form.
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