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information the information submitted is, to the best of my
<br /> knowled�e and belief true accurate and complete. I am aware
<br /> that there are si�nificant penalties for submittin� false information,
<br /> includin��ossibility of fine and imprisonment for knowin�
<br /> violations."
<br /> b. Non-Significant Categorical Industrial User Certi�cation
<br /> The following, certification is required to be si�ned and
<br /> submitted bv Users meeting the conditions described in Section 17-
<br /> 5.1. Division 1 of this Article. This certification statement shall be
<br /> submitted with Non-Significant Cate�orical Industrial User Reports
<br /> and must be si�ned by an Authorized Representative as defined in
<br /> Division 1 of this article:
<br /> "Based on mv in�uiry of the person or persons directly responsible
<br /> for managin� compliance with the cate�orical Pretreatment
<br /> Standards under 40 CFR I certifv that, to the best of mv
<br /> knowledge and belief that durin��the period from to
<br /> [month, da� e�}�ar1;
<br /> �a) The facility described as met the definition of
<br /> a non-significant cate�orical Industrial User as described in
<br /> 403.3(v)(2);
<br /> �b) The facilit�plied with all applicable Pretreatment
<br /> Standards and requirements durin�this reportin�period; and
<br /> �) The facility never dischar�ed more than 100 gallons of total
<br /> categorical wastewater on any �iven day durin� this reportin�
<br /> period. This compliance certification is based upon the followin�
<br /> information:
<br /> . . �
<br /> �}� Confidenttal�Informatron:
<br /> !1\ T (�T.`TJ D.�.�4 '1 4� 4;...+ 1..+�it4n�1_4.� 4L.
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<br /> (`i4:�.t�,�pip��4 L... .�1 •^4 � �ttit��c—=��civiz��-znu�va°.
<br /> �'rc'�i� "Y
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<br /> .,r +1, ♦' „�� 1, ., +1, r;l.o a ,,,, +1,o ., ..1:,..,r;.,,, f,�„,
<br /> „�+,.,,,.+:.,,,� ., ♦l,o ,. „f„+l,o,. �„1.,,,;��;,,.,� 1�.. �r.,,,,..:.,,. +t,o . .,r�� .
<br /> � .'«� ' �
<br /> n t;.,l l, 4:, +;�,,,�� 1� ,,;,��. ����h
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<br /> 56
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