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Yes No Comment <br /> Exports of RC�A Hazardous Waste -Continued <br /> [-/262 .56(a) ] - continued <br /> (6) A signed certification which <br /> states: <br /> I certif under penalty of law that I have personally examined and am <br /> familiar with the information submitted in this and all attached <br /> document , and that based on my inquiry of those individuals <br /> immediat ly responsible for obtaining the information, I believe that <br /> the subm'tted information is true. I am aware that there are <br /> signific nt 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 St eet SW. , Washington DC <br /> 20460? <br /> Did the prima y exporter keep for at <br /> least three y ars a copy of each: <br /> [-/262 . 57 (a) -J <br /> (1) Notification of intent to export <br /> (from the dat the H.W. was accepted) ? <br /> (2) EPA Ack owledgment of Consent <br /> (from the dat the H.W. was accepted <br /> by the initial transporter) ? <br /> (3) Confirmation of delivery (from <br /> the date the W. was accepted by the <br /> initial trans orter) ? <br /> (4) Annual eport (from the due <br /> date) ? <br /> Page 19 <br />