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J <br />M -1980 -020 <br />Consent Agenda Form <br />January 6. 2015 <br />Page 3 of 3 <br />Operator(s) Signature: <br />By signing this, the Operator agrees to the stated violation and will comply with the Corrective <br />Action(s) and Civil Penalty outlined above on the Staff Summary Form for Consent Agenda Items. <br />- 2- <br />Operator Signature Date Ndary Public <br />spires: ?- Z- t l <br />