EPA Form 8570-34 Certification with Respect to Citation of Data

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UNITED STATES ENVIRONMENTAL PROTECTION AGENCY
1200 Pennsylvania Avenue, N.W.
WASHINGTON, D.C. 20460
Paperwork Reduction Act Notice: The public reporting burden for this collection of information is estimated to average 1.25 hours per response for registration
and 0.25 hours per response for reregistration and special review activities, including time for reading the instructions and completing the necessary forms. Send
comments regarding burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden to: Director, Collection
Strategies Division (2822T), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, N.W., Washington, DC 20460. Do not send the completed form
to this address.

Certification with Respect to Citation of Data
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I certify that the statements I have made on this form and all attachments to it are true, accurate, and complete. I acknowledge that any
knowingly false or misleading statement may be punishable by fine or imprisonment or both under applicable law.
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