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<br />PERMIT NUMBER DISCNMOE NUMBER
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<br />NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERi1FY UNDER PENALTY OF~
<br />AM FAMILIM WITH TXE INFO IAW 7NAT 1 NAVE PFRSONALLY E%AMINED,'NID
<br />RMATION SUBMITTED HEREIN: MD BASED ON
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<br />fZf(J Ip.MJ~. /-EUh~~ MY INQUIRY OF THOSE INDINDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />OFFlCER OR AUTHORIZED AGENT
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<br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS /Referents e// sftsc/Imenb /ISre/
<br />SETTLEAdL£ SOLIDS LI!!IT NAIYeD FOR 17-IRe 24-HR PRLCIP ePENt SUii,iL:;'f TO BURGeN OF PROOP RFCUIREnENT5 .iN
<br />i?piiT Z. b. 1. D, PG. 6. SI'L7R'IiJATffR !lAAAGE7ENf PLAA DUe 1-1-98.
<br />rEPA Form 3320.1 108-851 Prevloue sdlnone mey be used. IREPLACES.EPA FORM T-40 WHICH MAY NOT BE.:USED.1 . PAGE 1 OF
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