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•• <br />20. For each outfall provide, on Table A, a description of: (1) All <br />operations contributing wastewater to the effluent, including water <br />associated with crushing or washing, sanitary wastewater, groundwater and <br />stormwater runoff; (2) The average flow contributed by each operation; <br />• and C3) The treatment received by the wastewater plus an identification <br />of chemical additives. Continue on additional sheets if necessary. <br />21. I certify under penalty of law that I have personally esamiaed and am <br />familiar with the information submitted in this application and all <br />attachments and that, based on my inquiry of those individuals <br />immediately responsible for obtaining the information, I believe that <br />~ the information is true, accurate and complete. I am aware that there <br />are significant penalties for submitting false information, including <br />the possibility of fine or imprisonment. <br />• 1.) ~ ~ / ~ 7/Z2/92 <br />A. SIGNATUR 0 0 (s) B. DATE SIGNED <br />Wayne Pi ki President <br />Sand CrPPk Fa rme Tnr <br />C. NAME (PRINTED) r, D. TITLE <br />2•) ~a~a .C ~~c~' ~~nn ,~ 7/22/92 <br />A A. SIGNATU ~ F O~iERATOR , B. DATE SIG <br />Wa President <br />C. NAME (PRINTED D. TITLE <br />Sand Creek Farms, Inc. <br /> <br />• <br />• <br />• <br />• <br />-7- <br />~ 1569M/0488M <br />