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_ C2- <br /> 2- <br /> N Date Name of Property Owner Address where work was performed type waste gal. pumped disposal site <br /> CL <br /> 6; 5 00 <br /> 24 <br /> Co knj Li. U <br /> CF) <br /> VIZ) 2� r 1fl�Y �tSZ� t� k0 �t Cc <br /> LU <br /> 0 <br /> 0 <br /> o' <br /> a <br /> z <br /> U <br /> h <br /> LU <br /> The following excerpt from the code of Federal Regulations.Section 403"Report must be signed by a corporate officer who can legally bind <br /> the company" I certify under penalty of lawthat this document and all attachments were prepared under my direction or supervision. <br /> Co <br /> <n <br /> CD0 <br /> r') <br /> CD �f <br /> Co <br /> N <br /> Q <br /> N <br /> U) <br />