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NSTAN <br />i -, U REQUIREMENT #%i#Y` <br />.i~LI1:S 't L,7 AI <br />' SAMPLE '• rf1 YYV'f'Y•f #'JVYrYY ,` <br />YYrfYYY ''~vv <br />~ <br />~ <br />' <br />, <br />~ <br />~ <br /> <br />t.lSJLYth MEASUREMENT [J <br />rre O J <br />G ~ <br />h~ <br />7;;iyy 1 U U PERMIT #:;###;: ###;::.~: Yr ###;::•# ###### &EPCGT HLY RAB <br /> <br />Il ~ f S` <br />Y l REQUIREMENT <br />%'Y~~# <br />L <br />L.tt dND VI%E l1~L SAMPLE <br />MEASUREME <br />T Y fY! <br />NoNF Y'!Y•YY•IF YY###1' YYYYY# //~~ q <br />~ <br />~ <br />(J <br />V L S U A L N / J <br />" 9U , <br />~ <br />/A <br /> <br />utii.t:b i U t; PERMIT #;rY#rsr U r5=1 #Y#Y#=. ###### #>r#### ##=f NCE/ ISUAL <br /> REQUIREMENT <br />NAMElTITLE PRINCIPAL EX ECUTIVE OFFIC ER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE P EflSONALLY EXAMINED TELEPHONE DATE <br /> AND AM FAMILIAR \YITH THE INFORMATION SUBMITT EU HEREIN <br />ANO BASED <br /> . <br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR / <br />~ L- <br />Karla N <br />Rabuck OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATIQN r•, <br />~ <br />// <br />1 ~L/L, <br />C <br />. IS TRUE, ACCURATE AND COMPLETE. I AM AWARE THAI THERE ARE S <br />IF <br />CAN <br />PEN <br />T <br />ES FOR SUBM <br />TTI <br />G FA <br />SE <br />F '~' <br />~ <br />i <br />( L <br /> <br />Vice President AL <br />N <br />I <br />i <br />I <br />I <br />N <br />L <br />IN <br />ORMATION, INCLUDING <br />THE POSS <br />BILITY OF FINE AND IMPRISONME <br />T SEE <br />8 <br />S <br />C 608 154-2291 91 12 31 <br /> I <br />N <br />1 <br />U. <br />. <br />. 6 1001 AND <br />C <br />P <br />33 U <br />S <br />9 1719 <br />h <br />d <br />A <br />l <br />d <br />710 <br />0 <br />0 IGNATURE OF PRINCIPAL EXECUTIVE <br /> . <br />res un <br />rr r <br />rsr srplmes muy nir <br />. <br />. <br />/ <br />enu <br />u <br />e lnrs up ro <br />, <br />0 <br />OFF <br />CER OR <br />UT <br />OR <br />E <br />G <br />T AREA <br />TYPED OR PRINTED andprmavmum rmpruonmrm of brrvnn6mmlAS and SVrarz./ I <br />A <br />H <br />IZ <br />D A <br />EN NUMBER YEAR MO OAY <br />COMMENT AND E%PLANATION OF ANY VIOLATIONS lReJerenrr all aNpchnren(s here) <br />C1L E GhEASP,: 5eE ['ooTt:c'i~ t'/, FAGS i IN 'lilE PEHNII. 1'UHtlcHLY DISCHANGEU UNDEN CO-OU35653. <br />EPA Form 9320-1(RBY.9.8EJ P/BVIOU52(3%1/OAS TBy Oe USBd. 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