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IQZS <br /> SIGNATORY AND CEFUIFICATICN SI'ATWEW Tot c, cc <br /> . ?Y <br /> lease Check the appropriate box -AUG 0 9 1991 <br /> CESCrIlry T%kT i ENVIROiWENT:AL HEALTH <br /> ��dFk��al ax�cutive <br /> -7 (for a municipal, state, federal, or other public agenc§J - <br /> officer or ranking elected officials or <br /> In the case of Federal agencies, I tm the chief <br /> exec tion ve officethe r Ofl he agency,,rations r a <br /> am the senior executive officer having responsibility <br /> principal geographic unit of the agen Y. <br /> 7 (for A partnership or sole proprietorship) I ami a general partner (Partnership) or a <br /> proprietor (sole proprietorship). <br /> 7( (for a corporation) I am president, Vice President, Secretary or Treasurer of the <br /> oorporation and in charge of a principal business function, or I perform similar policy <br /> or decision making functions for the corporation; or, <br /> I am the manager of one or =ore aanufacturing, production of operating facilities <br /> employing more than 250 persons or having gross annual sales or expenditures exceeding <br /> $25 million (in second-guarter 1980 dollars), and Authority to sign documents has been <br /> has been assigned or delegated to me in accordancewith corporate procedures. <br /> certify under penalty of lav that this document and all attachments were prepared under <br /> r direction or supervision in accordance with a system designed to assure that Qualified <br /> ersonnel properly gather and evaluate the information submitted- Based on my inquiry of <br /> x person or persons who manage the system, or those persons directly responsible for <br /> ,thering the information, the information sutmitted, is to the best of MY kridwledge and <br /> .lief, true, accurate, and ccrplete. I am aware that there are significant penalties <br /> x submitting false information, including the possibility of fine and irtprisoment <br /> u knowing violations. <br /> ate of Cover Letter Description of Document <br /> i <br /> gnature j� '�7�//Ltti.' <br /> Date k �/7 G <br /> +me R. T. Harvin _ Title X Real Estate F Enrinceripg Nag, _r <br /> mpany Name } Exxon Company U.S.A. _ I7Or>c wry- (713) 656-7710 <br />