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PERMITTEE NAME/ADDRESS (include Faci(irv NnrPrf~ocalinn ~Di,~errnq _
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<br />FACILITY OAK CAEEB CO @0467
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<br />-. NATIONAL POL^LUy'A~NT DISCHARGE ELIMINATION.SYSTEM (NPDESJ
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<br /> NAME/TITLE PRINCIPAL E%ECUTIVE OFFICER ~ ~ I CERTFY UNDER PENALTY OF LAW THAT I HAVE PERSO NALLY E%AMINED AND T)= PHONE ~ DATE
<br /> ' AM FAMILIAR WITH THE INFORM ATION SUBMITTED HERE IN: AND BASED ON MV .
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<br /> ~R1^~-' ~nFl-2~. INiOUINFORMATOIONINDIBEOEVE IMHE DSUBMITTEDP NFORMATIONO STATRIUE,
<br /> ' ACCURATE AND COMPLETE. I AM AWARE THAT THERE ARE SIGNIFICANT
<br /> PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING THE
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<br /> POSSIBILITY OF FINE AND IMPRISONMEM. GEE 1G U.S.C. 4 1001 AND 33 U G.C.
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference all attachments here)
<br />TSS S TOTAL IRCR LI8,133 BILL BE YIIYED, AMD SETTLEABLE SCLIGS 1ZCI7 EFPLIED PGR (=1CY6, i4tl."~llCjf lEYF6T
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