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Yes No Comment <br />Exports of RCRA Hazardous Waste -Continued <br />(-/262.56(a)-] - continued <br />(6) A signed certification which <br />states: _ <br />I certify under penalty of law that I have personally examined and am <br />familiar with the information submitted in this and all attached <br />documents, and that based on my inquiry of those individuals <br />immediately responsible for obtaining the information, I believe that <br />the submitted information is true. I am aware that there are <br />significant penalties for submitting false information including the <br />possibility of fine and imprisonment. <br />Was the annual report sent to: Office <br />of International Activities (A-106), <br />EPA, 401 M Street SW., Washington DC <br />20460? <br />Did the primary exporter keep for at <br />least three years a copy of each: <br />(-/262.57(a)-] <br />(1) Notification of intent to export <br />(from the date the H.W. was accepted)? _ <br />(2) EPA Acknowledgment of Consent <br />(from the date the H.W. was accepted <br />by the initial transporter)? _ <br />(3) Confirmation of delivery (from <br />the date the H.W. was accepted by the <br />initial transporter)? <br />(4) Annual report (from the due <br />date)? — — <br />Page 19 <br />