PERMITTEE NAME)ADDRESS(7ne"For•thryNa.?La•eri. tfD(pbw.t)
<br />NAME SNUiC.AP CU.:1L CGI-FANY, INC.
<br />ADORESSHUADI iIUc: NORTH S SOUTH HINES
<br />P.U. -'OX 14JU
<br />NATIONAL POLLUTANT 043CMAROE ELIMINATION SYSTEM //NPDES)
<br />DISCHARGE MONITORING REPORT (DMRJ MI
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<br />PERMIT NUMBER ..SCHAROEML*AOtt F - FINAL
<br />Farm Aporoved.
<br />pV8 No 2040-0004
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<br />FOND,-'5- T(. CUAL (.F.EFK
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<br />YEAR MO DAY OAY
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<br />LO?T1ONVEAR PALISADE CO 61526 FROM 1-T -6-1 TO I -J-0 t;0 015CHARIiE 7r -Old' 1
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<br />:OMMENTS AND EXPLANATION OF ANY VIOLATIONS (Referonc• Nr a"ecAmenta Atrrtr)
<br />ALE i.A.1.8. FOR ALIEFNATE LIMITATIONS WHEN IUYR.24HR PRECIP. EVENT OCCURS, SU13JFCI TC BURDfiN CF PFCCF
<br />h`?uU1Kt!1F.TiTS - 5)?i? I.A.Q.
<br />PA Form 3320-1 (Rev. V99) Previous editions may be used. O C 29 8/ C .Sh' V? 1 L?Qrm' PAGE OF
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