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NPD) S Monitoring Requirement 10 September 2001 <br /> 6. Example of Data Formal. <br /> Discharger: Name of Laboratory: <br /> Contact Name: Laboratory Contact: <br /> Phone Number: Phone Number: <br /> Name OfConslilucnt Sampling Dale Time Dale USEPA Analytical CQL MDL, RI, Conmienls <br /> and Cflt 11 Localion* Sanyile Sangilc Sample Mclhnd RasulL <br /> Collccicd Collected Analyzed Used (ug/I) <br /> See Attachment ii <br /> *The effluent sampling station and the upstream receiving water station specified in the NPDES Permit Monitoring and Reporting Program <br /> should be used. Other sampling locations must be approved by Regional Board staff. Include longitude and latitude coordinates for the <br /> receiving walcr sampling slnlions. <br /> 3of3 <br />