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PERMRTEE NAME/ADDRESS 0.~4, iedlp Naw/Ineula. I/Dld~,w)
<br />- NAME rI±APi'P.R ~r~rv~, Iwc.
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<br />FAaurY
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<br />ATTfi: N. L;OAD~M PET~W+, PRF.S/G~K >9,H
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<br />NATIONAL POLLUTANT OISCHMOE 0.1MIMATON SYSTEM INPOE$l FOfm Approved.
<br />E MONITORING REPORT lOM9/
<br />DISCFWR6 .! r .1 ~ n OMB Na. 2040-0004
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<br />146531 5F51/ l38-~51 4653 !54-51 of
<br />f3Z-371 EX ANALYSIS TYPE
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<br />NAMERITLE PRINCIPAL EXECUTNE OFFICER I CERTIFY UNDEII PENALTY OF UW TNAT 1 HAVE PERSONMIY E%AMINED MID TELEPHONE DATE
<br /> AM FAMILIAR WITH THE INFO RMATION SUBMITTED HEREIN; AND BASED ON /~
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<br />W, Gatdoa Peters MY INQUIRY OF TNOSE INDIVIDUMS IMMEDIATELY gESPON51BlE FOR
<br />OBTNNINO THE INFORMATON, 1 BFLIIVE THE SUBMITTED INFOINIATION IB ///~~~
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<br />THE POSSIBILITY Of RNE AND IMFAISONMENT, SEE to U.S.C~ ! 1001 AND ]] 610NATURE Of PRINCIPAL E%ECUTIVE
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<br />TYPED OR PRINTED rws•mF.erwnsrrPria~.lwlrbArMwn 4mwU..nda hval OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRalarenca a!l stTSChmants hare/
<br />;::TTLL:A`?L~ 3ULLDs 6T!"IC !AI RP. 11411f~U Y'Ua 71VIR,2LLRR ~~Prru gYt;yT - SF.P ALTS"R"A T° LI"TTP^j^';,- I!•`1nF.R
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<br />PA Form 3320.1 IOE•961 Prevloue adltlona meY be used. IREPIACES EPA FORM -4G~ WNI~Y t(QT ~E V8ED.1 OOL O A / 9 9 ~ 1! ? 1 -1 ~ t ~ PAGE
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