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ACCU <br />A <br />E MD <br />L <br />. <br />I ~ SIGNIFCANT PENAIDES FOR eUBMITTING FALSE INF011MATION, INCLUDING <br />~ <br />THE POBSINLITY OF FINE MD IMPRISONMENT. SEE 18 U.S.C. 1 1001 MD 73 SIGNATURE OF INgPAL EXECUTIVE <br />' ' <br />us.c. 1 rata. tF•A.ns., undFr Brr Frnm• Arr /+cald, rr, w to s to,ooD NUMBER EAR MO DAY <br />C <br />TYPED PRINTED ,Mwnrrinun~'IWe'A.II,IIr,Ia1IWAM emmN„MeF..'.~l OFFlCER OR ORIZED AGENT <br />ODE <br />COMMENTS AND EXPLANATION OF ANY VIOLA( IONS llie7erencs mi errscnmenn oars! - <br />TS5 f; (NUN LI7IT5 MILL HE YAIVED b SET'ILEAL:LE SOLIDS LL11IT APPLIED FDH <=10lfle2+INe PRECIP [IRMTj t55 <br />1flON E SETTLEAfELE SOLIDS LLtlIYS wAIYfr4 F?~ >14i1?aZgRR PAECIP EVENT' SUBJECt TD BURDEN 0- PAOO1 IN I. <br />.-~. . .. .. ... .-o :.nom, • ~:Ane rn <br /> <br />,r <br />~o'o_'ne'meybe. used:"' " ~ `~IREVCACEB EPA~ORNJ T40. WHICH MAY, NOT BE USED.) PAGE <br />~~~c•. '- .~ ~ _, ~ _, ... .. ... ... Q4D 10./4BO91 tl-O9Z3 1 <br />