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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 examin d and am <br /> familiar with the information submitted in this and all att ched <br /> documents, and that based on my inquiry of those individua s <br /> immediately responsible for obtaining the information, I elieve that <br /> the submitted information is true. I am aware that ther are <br /> significant penalties for submitting false information Mcluding 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 /> (J) 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 />