NCS000386 DMR SW (20)

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. sraRaftvATER DISCHARGE°VITALI;GSDO) - .
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• • • • .•• . MONITORING ItEPCORT .-
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- Permit Number:NCS or SABIPLES.COLLECTED DURING cAigio AR YEAR:
Certificate of Coverage Number:NCG • '(mls monitoring report shall be received by the Division no bterjfhan 30 daystrom
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., the date the facility receives the sampling results ftwM the Tabora iy,) --
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FACTLTI'Y NArvit D Cld,W.fv‘ie,-LL, I (Le k NI + 140ted. .- '. court NI -ex." .0(.,t, - . .
PERSON COLLECTING SAMPLE(S) i'l-1--,S.nr.i...i2--,. • - f • . .:.OMR NO. 104 SeL "., 7307' i ' '30
CERTIFIED LABORATORY(S) ,c L. e aiii_ti JAI)It • ‘ .&--a ____-Wii1111111MIE111111 -
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• By this signals%I Certify that this report is•• .• i i •te •
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complete to the belt of My knowledge. •
Part&Specific Monitor . - . . .
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Does this facility perform Vehiele Maintenance Activities using more than 55 gallons of new motor oil per month?_yes _no •
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Partp:Vehicle MaintenanceActivity MoniltritiA Rerirements • .
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