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' `.'0: E DF E6s Y <br />P Ia <br /> <br />1z'FL?l t+4T' 1?G4SS REQUIREMENT <br />30 AJG <br />i??:s? = <br /> <br /> <br />4 SAMPLE' <br />' 1„ Ir ?= Y« sr # 3# ?* "; 3£ if K• g? # t ?; <br />}t <br />\{ <br /> <br />RECOERAIRLE <br />!t)TRL , <br />. <br />MEASUREMENT " <br />1 . <br />. <br />'l rt j( PERMIT # i#it# :t i# # tc i= y, j PC V' 's.I V "GI'ii"tOS <br />O"s VALUE <br />Uc Per t <br />R REQUIREMENT 30D !t d?U'G -Al: FIX IJ <br />} <br />? <br />I'tIsl 1 <br />? SAMPLE ??##3t#3i ;i•4c3r t:. F? 3£tfaf# ##44# <br />:.. MEASUREMENT \\ <br /> PERMIT tb,k 3 ' } i li # iF# 3E ##' yi r?r?cs iz 10 +: <br />\` N{ }1' ?RAB <br /> <br />UAL l7L <br />f' LL)?.N T (1R S MENT <br />REQUIRE 3t#tF r Z= it <br />_ i 3r???, <br />lYi i •. <br />. , <br />:g <br />. . <br /> <br />NAME/TITLE PRINCIPAL+EXECUTIVE, OFFICER <br />, <br />.1 certify under penalty of law that diis'document and all attachtuents were. <br />' <br /> <br />TELEPHONE • <br /> <br />DATE <br /> preparerl under.'my direction or supervs,on in accdrdance with a system designed, • <br />•^ •, ,••..• to assure that <Iualitied personnel. properly gather and evaluate' the information <br />ersons who manage tht <br />svstem <br />uvv of the <br />erson or <br />ed on m <br />,n <br />b <br />itt <br />d B , <br />:' <br />• r h <br />, <br />i <br />. <br />' ' ''? . <br />p <br />y <br />y <br />p <br />su <br />m <br />e <br />as <br />for gathering the information, the mformahon . <br />• or those persons du•ectly respons=hle , ., <br />" " ' <br />- ;' ' ` <br />`' <br />: , <br />ci?mplete <br />true <br />acc <br />rate <br />and <br />u <br />led <br />a <br />d beli <br />f <br />tof` <br />'k <br />? <br />ub <br />d i <br />o <br />h : ? <br />• :. <br />.. <br />, ?, <br />, „ 1, _ <br />, <br />, <br />, <br />w <br />ge <br />n <br />e <br />; <br />u <br />e lip <br />my <br />n <br />. s <br />mitte <br />t <br />s,, t <br />SIGNATURE OF PRINCIPAL EXECUTI •; d ? ,,. i 1 <br /> <br /> <br />information, <br />that there Are significant peualiies for submitting false <br />1am' aware <br /> <br /> <br />T <br />U <br /> <br />A <br />'RE <br />A <br /> <br />' <br />'TYPED OR'PRINT D including the possibility of fine and impnsonmcnt 1'or knowing vmlations:. THORIZED AGE <br />" <br />OFFICER , , ., . OR . A <br />c , . .. „ <br />COD <br />E NUMBER <br />.. ,. ?? YEAR MO <br />: DAY', <br />. , . .. <br />r <br />COMMENTS AND EXPLANATION OF ANY VIOLATIONS (Reference: all attachments here)^ <br />tni t t ERL i? ..°id?PL I1?l6-1i REPORTING, ;I.i?1STRUC'f ION •$EE I'. C <br />EFA Form 3320-1 '(Rev'' 3/99) Previous editions may, be used <br />E` 9. . G1L ''AND :,;'GR"rAS'E SEE <br />^ <br />,. <br />QOO 71 ?jL s! _4 ptOfyrm PAGE of <br />?.