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OUTFALL DIRECTLY NAME OF PERSON <br /> OBSERVED DURING THE TEST DESCRIBE RESULTS FROM TEST WHO CONDUCTED <br /> DATE OF TEST (IDENTIFY AS INDICATED METHOD USED TO TEST FOR THE PRESENCE OF IDENTIFY POTENTIAL THE TEST FOR <br /> OR EVALUATION ON THE SITE MAP) OR EVALUATE DISCHARGE NON-STORM WATER DISCHARGE SIGNIFICANT SOURCES EVALUATION <br /> STK4-John Reed Mine Visual Dry Weather Condi- Site remediation plan implementa- <br /> 7/12/1996 tions tion in progress. <br /> CERTIFICATION <br /> (responsible corporate official), certify under penalty of law that this document was prepared under my direction or supervision in <br /> accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons <br /> who manage the system or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, <br /> and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. <br /> A. Name la T�jeI aB f�Ml� —�] /� B. Area C� a Telep <br /> Signed: <br /> Date Sig <br /> C. Signature: / D. <br /> PAGE 2 OF 2 <br /> NON-STOR.A&E <br />