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Get Epa Form 8570 27 Formulators Exemption

Cant s Name and Address EPA File Symbol/Registration Number Product Name Date of Confidential Statement of Formula (EPA Form 8570-4) As an authorized representative of the applicant for registration of the product identified above, I certify that: (1) This product contains the following active ingredient(s): (2) Of these, each active ingredient listed in paragraph (4) is present solely as the result of the use of that active ingredient in the manufacturing, formulation or repackaging anot.

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