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Toxic Substance Control Act - Import Certification Form

Toxic Substance Control Act - Import Certification FormChemical substances imported into the United States must be accompanied by a Certification form indicating that theshipment is in compliance with the EPA' s Toxic Substance Control Act. This shipment contains the followingchemical substances:Chemical NameChemical Abstracts Services (CAS) Registry Number (if available)The following Certification can be made regarding this shipment (select one of the following two certifications ). I certify that all chemical substances in this shipment comply with all applicable rules or orders under TSCAand that I am not offering a chemical Substance for entry in violation of TSCA or any applicable rule or orderunder TSCA.

Toxic Substance Control Act - Import Certification Form Chemical substances imported into the United States must be accompanied by a certification form indicating that the

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