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I AM AWME THAT THI <br />LIES FOR SUBMITTING FALSE INFORMATION, IN <br />RNE AND IMPi1150NMFNT SEE to U 5 C F 1005 <br />TELEPHONE <br />71 `) ~~r <br />DATE <br /> <br /> I r-~ rrv Ylec c •~ r s <br />~f iii ~ SIGNATURE OF PRINCIPAL EXECUTNE I I ' <br />l ~ I <br /> u. <br />.c <br />B. IArWS. uwr ews Nnlha mrv hcA~d~ <br />in.a .m ro t IO,000 I AREA <br /> TYPED OR PRINTED nlenmuimun hrAd.unwnt orbtwrnemmMaWbF.rsl OFFlCER OR AUTHORIZED AOENi <br />CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANV VIOLATIONS lRa/erence ell sttschments here! <br />$Et 1.A.1F PP S-7F FUk DETAILS OF TEST PkOCEUUkc. ItePUkT LC50 - STATI$T1LAL PL,jhT ESTIraTE Lhj(.h 1] <br />LETHAL TU SUS: OF TEST OR4AN15MSF AND 4TTACM ACUTE TOXICITY TEST REPORT FUKM TU L1!IK. CuP1L5 OF :.LL <br />') E\GI CM.T I.tu WILT uG QLWT Tfi L'Ol <br />t'_EPA Form 3320.1 108-951 Pravloue edlnone meV be used. - -- -IRERLACES"EPA.FORM 7~0 WHICH-MAY-NOT-BE-USED,1 <br />0UJ73/9ou~iU-i19t4 PAGE --OF <br />~ <br />. 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