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APPLICATION FORM <br /> Page 9 of 9 <br /> 15 . Required signatures: <br /> gnature 4Property owner or agent) <br /> JACK FIORI, PLANT MANAGER date �-3-94 <br /> typed name, title <br /> Operator certification: I certify that this document and all <br /> attachments were prepared under my direction or supervision. I <br /> have inquired of the person or persons who manage the system or <br /> those persons directly responsible for gathering the information, <br /> and certify that the information submitted is, to the best of my <br /> knowledge and belief, true, accurate and complete . <br /> gnature acility operator or agent) <br /> JACK FIORI, PLANT kAN-AGER date 8-3-94 <br /> typed name, title <br /> CIWMB 500 (10/92) <br />