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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY ueom PEIEUn pF LAW 4HAT I HAYEP6RSONALLr EAAMINED Mo - ~ ~ TELEPHONE .~~ ~ ~ ~ DATE
<br />AM FAMILIM WITH THE IIItORATATION SUee11TTED HEREIN; MD BASED ON ~//~~~ Ali /
<br />My INQUIRY OF THOSE fICINDDALS IMMEDIATELY REBPON5IBLE FOR
<br />Richard M1~~5 OBTAINING THE INFORMATIOH, I BELIEVE THE SUBMITTED INFORMATION IS
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<br />SIONIFICMT PENALTIES FOR SUBMITTING FAL9E INFORMATION, INCLUDING
<br />G~IV IrOrTmPntal A:1an~ger THE POSSIBILITY OF FINE MDIMPRISONMENT. SEE IB U.S.C.11001 MD35 O ., ~ ~ za 99
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<br />TYPED OR PRINTED wwnn.LSen1MMa+lw+r orbelrwnsmanenW6 EAVA/' OFFICER OR AUTHORRED AGENT coDE Nu ~ R ' YEAR MO DAY
<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Rs/rrencs sl/ettechments here)
<br />SETTLtAJLC SULI;JS LLnIT IYaIVEJ FUk 1JYR,~4Hk PREGIP cVclvT-StE i.A.3, PJ IV, Fill I<EdUI~EHENTS. GIL v
<br />ukcASE 6kAo SAMPLE ANALYSLS kE~U1kEJ jF VIS[oLt $HcCN IS Uf35tiiVEU. ~RTKLY SAMPLI,tiL INSTRUGTIGNS-I.L..,s,
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<br />EPA Form 3320-1 108-951 Previous editions mey be used. (REPLACES EPA FORM TAO WHICH MAY NOT BE USED.) J u l UEd f Y b 1 L) U 1-1311 ~ PAGE i OF
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