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ABOVEGROUND PETROLEUM STORAGE ACT (APSA) PROGRAM <br />GRANT APPLICATION <br />5. CERTIFICATION <br />I certify under penalty of perjury that the information I have entered on this application is true and complete to the best of my <br />knowledge and that I am an employee of the applicant authorized to submit the application of behalf of the application. I <br />further understand that any false, incomplete, or incorrect statements may result in the disqualification of this application. <br />By signing this application, I waive any and all rights to privacy and confidentiality of the proposal on behalf of the applicant, <br />to the extent provided in this program. <br />G,,~~~1 ~ ~~a~~ ~ 5/12/2008 <br />Applicant Signature Date <br />Danielle Stefani <br />rrmtea Name or Applicant <br />6 APSA GRANT APPLICATION -December 2007 <br />