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PERMITTEE NAME/AOOgESS (I told 1 /y� NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) [lamAppraed
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<br /> LOCATION r "L J FROM p Cl O / (1 1 TO i L 1.a/ ..'l: i`' !r 1 I I L r 7 '' l•J 7 t , '
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<br /> 1 (3 Card Only) OUANTITY;OR LOADING (4 Card Only)-] QUALITY OR CONCENTRATION
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<br /> 1 sREQU1REMENTIJ� a
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<br /> NAME/TITLE PRINCIPAL EXECUTIVE OFFICER I CERTIFY UNDER PENALTY OF%LAW THAT I HAVE PERSONALLY EXAMINED — YL�. 1 N y;� -�^TELEPHONE O A T E«
<br /> AND AM r MIUAA WITH THE INFORMATION SUBMITTED HEREIN AND BASED ,;,Ib y �_ _ `
<br /> ON MY INQUIRY OF THOSE INDIVIDUALS IMMEDIATELY RESPONSIBLE FOR - !` - C `� =
<br /> OBTAINING THE INFORMATION 1 BELIEVE THE SUBMITTED INFORMATION _ - J,•'Y I € -y '
<br /> IS TRUE ACCURATE AND COMPLETE I AM AWARE THAT THERE ARE SIG + r. A) N--i
<br /> ' 1 NIFICANT PENALTIES FOR SLIWITTING FALSE IHiOpMATION. INCLUDING U JI THE POSSIBILITY OF FINE AND IMPRISONMENT SEE IB USC 1 1001 AND I0NATURE OF PRINCIPAL EXECUTIVE- 1At'� / O A9
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<br /> /' 33U5C 111119 IPrnalar. .,ul- three bafufvs mY nNWr f... 7 f ��YO a0 Bf1AND
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<br /> -� TYPED OR PRINTED I -OFFICER OR'AUTHORIZED AGENT—� CODE .NUMBER - YCAR MO DAY
<br /> COMMENT AND EXPLANATION OF ANY VIOLATIONS (Reference all alwhra,nf. here) i J ,�,-, '� _^ l L J
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<br /> EPA Form 3320-1 (RRI. 10-19)PREVIOUS EDITION TO BE USED (REPLACES EPA FORM T- WHICH MAY NOT BE USED.) PAGE OF
<br /> UNTIL SUPPLY 18 EXHAUSTED Ii U(i 1
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