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<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDESI
<br />DISCHARGE MONITORING REPORT /OMR-
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<br />PERMIT NUMBER DISCHARGE NUMBER
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<br />Form Approved. ~'
<br />ty„ .~ t 1,_ OMB No. 2040-0004 !+
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<br />EPA Form 3320-1 (Rev. 3199) Previous editions maybe used. .
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