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Pretreatment Program • <br /> Baseline Monitoring rt (continued) <br /> Page 4 <br /> 8. Compliance Certification: <br /> A. Is the facility meeting applicable categorical pretreatment standards on <br /> a consistent basis? Yes No <br /> B. If no, what additional pretreatment and/or operations and maintenance are <br /> required to achieve compliance, and completion dates of these actions. <br /> 9. Signature: <br /> I have personally examined and am familiar with the information submitted <br /> on this form and attachments. Based upon my inquiry of those individuals <br /> immediately responsible for obtaining the information reported herein, I <br /> believe that the submitted information is true, accurate and complete. <br /> 1 am aware that there are significant penalties for submitting false <br /> information, as dictated by 40CFR 403. 12 (m) . <br /> 'Name - Authorized RepreKentative Signature <br /> a IEr\GPC0,2QL� / l/ / 1 / <br /> Official Titl Date <br />