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P[RMITTlE NAM[/ADORE!! /nClYdf / /~ NATIONAL POLLUTANT OIfCX ARGf FLIM (NATION SYSTEM /NPDES!
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<br />' PERMIT NUM BCR OI¢w.wcE wuMPu
<br />--------------- - MONITORING PERIOD
<br />-AU urT
<br />YEAR MO DAY YEAR MO OAY
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<br />Form Approved ~J
<br />OMB HD. zga~4D;da V g 1993
<br />- Expires 9.30-91
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<br />NAME/TITLE Pfl INCIPAL EXECUTIVE OFFICER NAVE PEw9DNAUr El1AMINEO
<br />I CERTIFY uNDEw PEnALir OF LAw THAT I
<br />IAR WITH THE INFORMATION BUBMITTED REREIN AHD LASED
<br />AMI TELEPHONE D A T E
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<br />ON MY INQUIRY OF THOSE INpVIDUALS IMMEpATELV RCSPOM1SIBLE FOR
<br />OBTAINING THE INFCNMATIO.v I BELIEVE THE SUBMITTED INFORMATION
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<br /> CINT fFMALTIES FOA $U9iIITfING FALSE INFORMATION INCLUDING
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<br />TYPED OR PRINTED y
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