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<br />VISCHARGE MONRORINO REPIMT /OMRI ~ EtEy„tR~O Z gO.000q
<br />NAME 80~It irgpr!F`_'F: LI'iITP.D a-rs r7-E9/ DORESTCIC p9TP rD A r fal ghee 95-at-se
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<br />LOCATION - FROM 00 0 TO ### 110 ISCpAR;, ~4Y 811
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<br />AVERAGE .' '~~ M!4 UM ~ UNI78 MINIMUM AVERAGE MA%IMUM UNITS !sz-sm l6s-6BI 159-701
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<br />NAIVIE/TIiLE PRINCIPAL EXECUTIVE OFFIE€R 1 CFATIFV UNDER PENALTY OF UW THAT 1 HAVE PERSONALLY E%AMINED AND / j~ TELEPHONE DATE .
<br />AM FAMIUM WITH THE~INFDRMATIDN BU•MITTED HEREIN; MID BARED ON '
<br />/_ /! /// , )~ p /1 TA Mr INOVIRr OF ~ THOSE INDINDUKS IMMEDI }fLY REWON9BLE fOR
<br />/W// /7 C. ~7 / r• OeTNNING THE INFOPM/~TION, I BELEVE THE SUBWMAIRTTED INFORMATON IS
<br />(//~ p ~T TRUE, ACCUgATE MO COMPLETE. 1, AM A E THAT ?HERE ME
<br />/-~ PL. ~r'! U SIGNIFICMT PENALTIES FOR SUBMITTING. FKSE IRFORMATION, INCLUDING ~
<br />THE POSSIBIUTr OF RNE MD IMPRISONMENT. ]EE 1B V.S.C. 1 1001 AND 9] '~q / ~ ~ I
<br />u.S.c. 1 raf •: rAws.F urvr-tll,.w mWN, m.r GNE.d, fvrA ye ro t 0,000 BIONA7URE OF N1INCNAL EXECUTIVE A A ~ f
<br />' TYPED OR PRINTED wor nrr:.nm inplalnrrrr orblwwn•mprtlM rtlay,v,.l OFFICER OR AUTHORREO AGENT CODE NUMFIER YEAR MO DAV
<br />COM ENTS AND EXPLANATION OF ANY VIOLATIONS (Re/slant. all attachments h•rel
<br />OIL G 6R815E--SEE I.'.1.C, PG 6,
<br />EPA Frxm 3320.7 108-961 Praviou• sditione may be uead. IR(iPLACES EPA FORM T30 WHICH MAY NOT BE USED.) 0 0 0.15 / 9 T 1 ~b D b -15 41 PACE i F
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