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<br />NAME BLUE !FOUNTAIN ENERGY, INC.
<br />~ ADDRESS DESEkADO tlINli
<br />3tiU7 COUNT[ ROAD 65
<br />RANGL[ CD 81643
<br />FACam
<br />LOCATION
<br />ATTM: JEPP DUBBERT
<br />Form Approved
<br />NATIa1Al POILVTAMT alCHMOF ELIMINATION lYIIfp1 /NPDESI OMB No. 2040-0004
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<br />20MMENTS AND EXPLANATION OF ANY VIOLATIONS (Re/erence eN effeehmenfs Aerel
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<br />EPA Form 3320-1 (Rev. 3/-9) Previous editans may be used. 00156 / (~~2~R~'{~Q7{~- PAGE ~i'
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