RECEIVEDCLERK’S OFFICEOCT 282005STATE OF iLLINOISPollution Control BoardSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY • Complete items 1, 2, and 3.
AlSO complete A.
Signature /
Item 4 if Restricted Delivery Is desired.
ted Name) IC.
D.
Is delivery address different from Item I? 0 Yes
PCB 2005—0951. MlcleAddr~ssedto: 10/20/05 IIYES,enterdeliveryaddressbelow: 0 NoThomas J. WienckowskiWienmar, Inc. 4. Restlcted Delivery? (Ext,a Fee) 0 yes2. AiticIe Number(Tmns~rftomservic...
Allowed
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