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<br /> NAME/TITLE PRINCIPA! EXECUTIVE.OFFICER I CERTI FY UNDER PENALTY OJ YNAT,FNAVE PERSONALLY ExAMIN ED AND TELEPHONE DATE
<br />Richard r~,i115 OBTAINING THE INfORMAT~ONIlJ~lEUEVE THE e11BM1TTED INFORMATON IB J /
<br />TRUE, ACCl1MTE AND ~'oMPLEEE. I AM AWARE TNAT iNERE AYIE /
<br />Environmental rAanager BIONIFICAnT PENALTIES Fq6 eV~~~A77ITTING FALSE INFOPIAATION, INCLUDING
<br />THE P0591BIUTY OF NNE AND IMPIIISONIdjNY. $EE to U.S.C. 1 1001 AND ]] 7 ' 7 D- ~ 79
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<br />TYPED OR PRINTED rN armuMun MNavnwnrNbM'«neAwNn. rWey«rt/ OFFICER OR AUTNORIZED AGENT CODE NUMBER YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRAennce ~//ettschmmts hPril
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<br />EPA Form 3320.1 (08.961 Praviour sditione mey De used. {REPLACES FPA FORM T<0 WNICH MAY NOT HE USED.! i1 J G 7 7 /961 J G 1-1311 PAGE lOF
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