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Page 7 <br /> SWPPP Amendment Number: <br /> Project Name: Tracy Tire Fire Site Remediation — SCI Project 11689 <br /> Contract Number: IWM-C2017 <br /> To Be Completed by Contractor <br /> I certify under a penalty of law that this document and all attachments were prepared under my <br /> direction or supervision in accordance with a system designed to ensure that qualified personnel <br /> gather and evaluate the information submitted. <br /> Based on my inquiry of the person or persons who manage the system or those persons directly <br /> responsible for gathering the information, to the best of my knowledge and belief, the <br /> information submitted is true, accurate and complete. I am aware that there are significant <br /> penalties for submitting false information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> Signature Date <br /> Name&Title Telephone Number <br /> For CIWMD Use Only <br /> Resident Engineer's Approval / CIWMD's Certification of the <br /> Storm Water Pollution Prevention Plan Amendment <br /> I certify under a penalty of law that this document and all attachments were prepared under my <br /> direction or supervision in accordance with a system designed to ensure that qualified personnel <br /> gather and evaluate the information submitted. <br /> Based on my inquiry of the person or persons who manage the system or those persons directly <br /> responsible for gathering the information, to the best of my knowledge and belief, the <br /> information submitted is true, accurate and complete. I am aware that there are significant <br /> penalties for submitting false information, including the possibility of fine and imprisonment for <br /> knowing violations. <br /> Resident Engineer's Signature Date <br /> Name Telephone Number <br /> Prepared: April 12, 2003 <br />