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PERMITTEE NAME/' `ESS (7wrl,i FrO,ry NmdLr.„r dDlG..r„)
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<br />NATONN POLLUTM? "^HMDE ELIMINATION SV9TEM /NPDESJ Form Apr•-ved.
<br />DISCHARC' ~NRORING REPORT I~MRI . OM6 Nc 10-0004
<br />1-161 17-19 r: v~ r r '
<br />Approve! ,.,.piree 05-31~-98
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<br />NAME/fITIE PRINCIPAL EXECUTIVE OFFICER I CERTI
<br />AM FA FY UNDER POINTY Of uW TNAT I HAVE PERSONNLV E%MIINED MD
<br />MIUM WITN THE INFORMATION SU9M
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<br />ED TELEPHONE DATE
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<br />MY INQUIRY OF THOSE INOINOUN9 IMMEpIATELY RESPONSIBLE fOq
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<br /> OBTNNINO THE INFOIIMATIOM, 1 BFUEVE THE SVBMITTED INFORMATION 19 ~ 1
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<br />I 1 TRUF. ACCVMTE MO COMPIETf. I AM AWME THAT TNERE ME
<br />SIQNIFICMT PENNTIES FOR SU9MITTINO FNSE INF011MATION
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<br />THE POSSISIUTY OF RNE MD IMPPoSONMENT. SEE 1e U.S.C. 1 1001 MD 7] gIONATURE OF PRIN
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<br /> U.9.C. 1 I ]te. /hrWaYs u,Or IMr mnma ,ery ErAO. hN. W ro i 10,0010 C
<br />AL EXECUTNE AREA
<br />TYPED OR PRINTED r/rmuin,i„hw`I.Nnr+r e/M,.wrPmondN rtl6/vral OFFlCER OR AUTHORIZED AGENT CODE NUMBER YEAR MO DAY
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<br />EPA Form 3320-1 (08.961 Previous editions may be used. IREPIACES EPA FORM T40 WHICH MAY NOT BE USED.1 PAGE OF
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