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PERMITTEE NAME)ADDRESS17ft. FwWigNr?Ls osi-((D( 6i t)
<br />NAME ?,'40A _,,P C.UhL C(_i!kp.. NY, InC.
<br />ADORESSJ rU,,LL),': NvjhIii b SOUTH MINE,
<br />Y.C). HOi: 11430
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<br />NATIONAL ?OILLITANT DISCHARGE ELIMINATION SYSTEM /INPDESJ
<br />DISCHARGE MONITORING REPORT JDMRJ
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<br />PERMIT NUMBER DISCHARGE NUedeER F - F I N A L
<br />Form Approved.
<br />OMB No. 2044-0004
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<br />YEAR MO DAY YEAR MO DAY
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<br />FUH ALIEhNATE 11MITAIXONS WHEN 1UYR,2411& PRECIP. ENENT OCCURS, SUBJECT TC EUELEN CF k CCF
<br />titUUlRt.fYEN't'S - SLE I.A.I.
<br />EPA Form 3320-1 (Rev. 3199) Previous editions may be used. U U b 1 E3 / U j 1 lll? 1?1 j?rM' PAGE OF
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