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NAME I
<br />ADDRESS 711
<br />
<br />FACILITY
<br />LOCATION
<br />NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES)
<br />DISCHARGE MONITORING REPORT (DMR)
<br />PERMIT NUMBER DISCHARGE NUMBER
<br />MONITORING PERIOD
<br />YEAR MO DAY YEAR MO DAY
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<br />Approved
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<br />NOTE: Read Instructions before completing this form.
<br />PARAMETER QUANTITY OR LOADING QUALITY OR CONCENTRATION NO. FREQUENCY
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<br /> AVERAGE MAXIMUM UNITS MINIMUM AVERAGE MAXIMUM UNITS
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<br />COMMENTS AND EXPLANATION UI- ANY VIOLA I IUNb (rrererence an arracnmenrs nere)
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<br />EPA Form 3320.1 (Rev 1 '99) Previous editions may be used f,.itt;,, is a-4-parC•>I,t;r1-n. PAGE OF
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