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(1 ~. .. ~~. ~~ORTj~ .E))y{. <br />a.r ,; , ~ , :REQUIREMENT <br />... ;~;~ <br />, ~ ~ ~ ~~. <br />- <br />FL.;'.~ ['+ ^.UNDt1I" 7R SAMPLE ( <br />('i) ...: ::;p,x:':r. .x ,.:--toc~ <br />"'!::L' T3`.dT]~NT uLA,7 MEASUREMENT D ~1 ~ <br /> <br />7UJ'TU .I U U PERMIT. <br />:~. an <br />R.,r~OR <br />T <br />~ ~ ~ <br />REPnRT ~~ CG~rt~ ^,n :C44#~ ~. u~G'•}`:: rp .`-.;^r, : ~~v 4 v <br />~~=..~.. ^. <br />jW$•e1 <br /> <br />. i't'LU 'tiP '• P4! !1 REQUIREMENT: . <br />. <br />. ~ <br />11 ~ ~ ~ <br />T~ IE .: <br />r ^•, ~ ~ ~~ ~ ~ ~~ <br />k.°#" <br />7IL Atirl GIIPA$° SAMPLE 3r:.,s!s ( )!O rt?:p:::-;:^: ....: .. . . <br /> MEASUREMENT ~ VS <br />Y[_Il r. 1 <br />. <br />•'UUbfI 1 U 0 <br />~ ~PERMfT ~ <br />G#OI.PL`R:. <br />acD.QflT <br />"I <br />:, <br />xXr,;#^,^.t;Y <br />#~t:#Xk::. <br />~ ~ ~~>rEa9^rt <br />.. <br /> <br />;:-:-- <br />~ <br />FFRI,'( <br />[CSLR.I <br />t' Y L 11 [: !/' ~) S M1 L REQUIREMENT: <br />~ ~ .. .:.: .:. +. _ .. ~ # ~ ~ tt . . <br />NAMERRLE PRINCIPAL EXECUTNE OFFICER ~ERTFY UNDEII PENALTY OF LAW THAT I HAVE PERSONALLY E%AMI <br />I <br />TTED <br />ERDM <br />AND BA <br />F NED AND <br />SED ON TELEPHONE DATE <br /> <br />~ ; <br />AM FAMILIAR WITH THE W <br />gIMATON SUBMI <br />H <br />MY INOVIRY Of THOSE NiDINDUALS IMMEDIATELY RESPgi51B <br />OBTNNINO THE INFORMATION, I BEIJEVE THE SUBMITTED INFORM LE FOR <br />ATION IS <br />n / <br />~; r <br />A ~ 1 AM AWME THAT THE <br />TRUE <br />ACCIATATE AND COMPLETE ME ME ui ~ ~ IL <br />1 . <br />. <br />SE INFORMATION <br />IN <br />T <br />ALTIE <br />R SUBM <br />ITNG FA <br />C CIIAIMG . / 1 <br />• <br />- C I <br /> , <br />SIGNIFI <br />AN <br />PEN <br />S FO <br />I <br />L g(L. - <br />, <br />7 L1 I ~ 0~ 1 <br />_ <br />M N •. A ( THE POSABIIITY OF RNE AND IMPwSONMFNT. SEE to U.S.C. F 1001 AND SS ~ o / v <br /> <br />TYPED OR PRINTED u.s.c. f t It9. IPrWe„ l,vr n.,. OIVN, n.y hG:d, u», ~ a tfoaoD <br />rN ar nr,irx,n iHarionr~rt W Nrw„n a monrA,rtlS Ew•al gN)NATURE OF PRINgPAL E71EC <br />R7E <br />OFFICER OR AUTHORED AOENi A A <br />CODE NUMBER YEAR MO DAY <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Refrrence s// ettedlmenm oars/ <br />it) ,4Y PJ M4 ;F IS 9I:'::S' `JATNLT AYE. DR'[N': D'Rf':!~ ?F^^.'*'.i'. !)I[, r ,RF.PSF - '"°-~ [.Fl.1.D~ '. ~. ~S <br />!' ~~.11. [1L )') L["'LPS ~fLt. Bt: YAIYin~ IIVU ~~'??LF.ASL' ~!1LT7S Lt°.-.- 4^~L[^^ FOp <=InY~a?q,{R 44g~j~ gy~yT-°.~TT. <br />EPA FR7FIi1 33Y0='I I B'H6 'Due sd' ey a ebEl. ~ al A ~ I A OT B[ U .) ' ~ '' ~ "' ~' E• ' ' <br />00055/96171'-12:1 ' <br />