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Get Form Approved Omb 2060-0294 Approval Expires 8/31/03 United States Environmental Protection Agency

Ad Equipment or Vehicles Subject to Federal Air Pollution Regulations U.S. E.P.A., Certification & Compliance Division (6405-J), 1200 Pennsylvania Ave. N.W., Washington D.C. 20460 This form must be prepared and retained by the importer for each imported nonroad engine, including engines incorporated into nonroad equipment or nonroad vehicles. However one form per shipment may be used, with attachments including all information required to fully describe each engine as below. Provide a duplicate.

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