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PERMITTEE NAME/ADDRESS lIirl4fsdlryNsdaa.elm yop..wq NATIONAL POLLUTANT DISCMMOE 0.1MINATION SYSTD.1 ,NPDESI Form Approved.
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<br />ADDRESS TRA PPF.R r"IX~ C~003?115 027 A (i11~R vv) Approval expires 05-31-98
<br />P . 7 . ? ~ g I ~ 7 PERMIT NUMBER DISCHARGE NUMBER v _ T• ? y ,+ t tl •~ : r. ^
<br />~. CYAIf; "O 9/525 ^'1N7F°/MI Y° ~;'"^ '"^ OA>r (:C1.CH
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<br /> NAME/T'ITLE PRINCIPAL EXECUTNE OFFICER I CERTI FY UNDER PENALTY OF UW THAT I NAVE PERSONALLY ExAMINED AND
<br />/ TELEPHONE DATE
<br /> AM FA MIUM WITH THE INFO RMATION SUBMITTED HEREIN; ANO BASED ON -
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<br /> 'd. Gordon Paters MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONABLE FOR
<br />OBTNNING THE INFORMATION, 1 BELIEVE THE SUBMITTED INFORMATION IS /_
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<br />id TRUE. ACCURATE AND COMPLETE. I AM AWARE THAT THERE AAE
<br />SIGNIFICANT PENALTIES FOR SUBMITTING FALSE INFORMATION
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<br />THE POSSIBILITY OF RNE AND IMPRISONMENT. SEE 1B U.S.C. E 1001 AND iJ
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<br />.nd a~mnYnun Hpnapnrlf er Mrwwn Smardrs rN 6 ywsl OFFICER OR AURIORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION Of ANY VIOLATIONS lRs/ersncs sll eftschmenfs here/
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<br />'U iIAY lY~pA6P, IS HIGHEST FIONT!1LT AY BBA P OtIRi NG y~PTflD TEVYRFI T F.O.
<br />EPA Form 3320.7 108.961 Prwlom sdlnons msy bs used. (REPLACES EPA FOR Ta{,0 WIMQNMAY NOT BE USED.) n 1 t .I 1 / ~ ~ ~ !; ~ ] -_ j rl l ~.~ PAGE ZOF~
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