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PERMITTEE NAME/ADDgE55 peY4 F+crbryNa./L.mnm UDI>fr..q <br />NAME 6kAfr{: VALLEY ~L}AL 6;}MPA~iY <br />A,~DgEas~lCCLw'vE CAtiYJy /1INE <br />P. 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A <br />l <br />A <br />A <br />E AN <br />E <br />E. <br />SIGNIFICAJIT PENALTIES FOR SUBMITTING FALSE INFORMATION <br />INCLUDING ~j <br /> <br />1 <br />1 ~~ '~, ~' <br /> <br />, <br />, <br />THEPOS5IBlLITY OF-FINE AND IMPRISONMENT. 9EE 18 U.S.C.) 1001 AND 33 <br />' <br /> <br /> <br />IGNATURE OF PRINCIPAL EXECUTNE Z <br /> <br />r: <br />%7 T <br />24~- J'/a <br />Y 7 <br />~j <br /> <br />Q / <br /> <br />p <br />TYPED OR PRINTED 31B. 7gxrElW+ undir dN~ mert++ m/Y NcN.d+ r+r+ uP ro S 10,000 <br />U.S.C. f T <br />MenrnN~nun MpismNnr arbMwn emeneh+.rger++l OFFICER OR AUTNORIZED AGENT CODE NUMBER YEAR MO DAV <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS lRe7Prence s/l pttsehmsnts herel <br />3J 'DAY AVERAGE I$ H[GHtST hifNTHLY AVG. DURING PFRillU dEPCRiED. <br />ihSTlttiG RESULTS UN UNR MARKED UU2 N. <br />oe enr,e 3320.7 108.951 Previous editions may be used. (REPLACES EPA FORM 7.40 WHICH MAV N! <br />Tp5 M/JNITOR[NG - I.:,i.i, ~{!, ~']h~T ACJT~ ~-' <br />OOG53/960424-J9±i <br />OF <br />t <br /> <br />