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<br />LOCATION__________
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<br />NATIONAL POLLUTAN' '^HARGE ELIMINATION SYSTEM (NYUGJ/
<br />DISCNAR~ pNITORING REPORT (OMRI ~ Vor20a0-0OOa
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<br />NAME/TITLE PRINCIPAL E%ECUTIVE OF FICER I CERTIFY'UNDER PENALTY OF LAW TRAY I HAVE P ERSONALLY E
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<br />AND AM FAMILIAR WITH THE INFORMATION SUBMITTED HERE
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<br />ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR
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<br />H. G. ATI:INSUN •~ is c' OBTAINING THE INFORMATION. I BELIEVE THE SUBMITTED INFORMATION
<br />I AM AWARE THAT THERE ARE SIG ' ~
<br />' IS TRUE
<br />ACCURATE AND COMPLETE
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<br />FICANT PENALTIES FOR SUBMITTING FALSE INFORMATION, INCLUDING .~ 3 1824=445 1'
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<br />' E POSSIBILITY OF FINE AND IMPRISONMENT. SEE 1B U.S.C. t 1001 AND SIGNATURE OF PRINCIPAL E%ECUTIVE
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<br />COMMENT AND E%PLANATION OF ANY VIOLATIONS (RgJrnnn Allattxhmrnv hurl I ~ '
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