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<br />NAME NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) Form Approved.
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED AND
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<br />INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR OBTAINING
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<br />I BELIEVE THE SUBMITTED INFORMATION IS TRUE
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<br />COMMENTS AND EXPLANA710N OF ANY VIOLATIONS (Reference a//attachments here)
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<br />EPA Form 3320-1 (08-95) Previous editions may not be used. (REPLACES EPA FORM T-40 WHICH MAY NOT BE USED.) G G L 7 r~~ C (; i, I 1 7 - 1 E i : PAGE 1 OF
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