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CERTIFICATION <br />I certify under penalty of law that this document and all attachments were prepared under my direction or <br />supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate <br />the information submitted. Based on my inquiry of the person or persons who manage the system, or those <br />persons directly responsible for gathering the information, the information submitted is, to the best of my <br />knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting <br />false information, includin the possibility of fine and im risonment for knowin violation. (Ref. 40 CFR 177.77). <br />Name and Official Title (P/ease type or prinU Signature%~'~,e,~~- Date Signed <br />Rodney A. Storey ~/~~ / `~~~ 30 September, 2004 <br />Well Field Supervisor /1 <br />EPA Form 7520-1 3 (1-84) <br />