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PERMITTEE NAME/ADDRESS (7,"&F"yN.WL,*c t- tfD(f-la-V1V1 Q"ATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM //NPDES/ DForm Approved.
<br />NAME r y Y A +M IT 4',rS (:? DISCHARGE MONITORING REPORT /DA4R) 111 ?.? ?ECE?Y G OMB No. 2040-0004
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER 1 etrtily ° er a"e 4 a law that this document and tit attachrnenb were
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<br />EPA Form 3320-1 (Rev. 3/99) Previous editions may be used. +h IS 8:``4-D:bit fOTiTI. PAGE OF
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