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RECEIVE <br /> SEP 13 Nil <br /> Q FtMR&MNT idf Property Owner Address where work was performed type waste gal. pumped disposal site <br /> PERMIT/SER 110ES <br /> � Z- 100CD <br /> � J - �fQ,f� �' '� L✓ �{I� L! � <br /> u4i - <br /> Cf) <br /> 0 <br /> ry <br /> LU <br /> F- <br /> O <br /> O <br /> r <br /> D <br /> Z <br /> Q <br /> U <br /> 1- <br /> a <br /> LU <br /> co <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 law that this document and all attachments were prepared under my direction or supervision. <br /> ro <br /> o - <br /> o <br /> w <br /> N <br /> Q <br /> N <br />