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PERMITTEE NAME/ADDRESS pie, r.m,,.,vm,..~ La.m,o, IJO18i..m)
<br />NAME 13GAi1 CG6L (;GtYPANI
<br />ADDRESS BLrnai NU• 3 a'SIN~
<br />P.G. BUY 518
<br />SUPlY.iiSBT CO 81434
<br />FACILITY
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF LAW THAT I HAVE PERSONALLY E%AMINED MD
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<br />THE POSSIBILITY OF NNE MD IMPRISONMENT. SEE 18 U.S.C. f 1001 AND 33
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Reference s// attachments here)
<br />If» E TGTAL IRON LItlITS 'rILL eh rAIYED, ANC SETTLcA5L1; SOLIU~ LIr7IT APPLSeD FOIi <=lUYR,24U6 PR2CIP LYENT;
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<br />EPA Form 3320-1 108-951 revious editions may be used. IRE ES EPA FORM -40 ICH MA T USED.) DDQ69/96U102-0943 PAGE Df
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