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I hereby certify the material I am hauling into the Stephens Industries LP Landfill / Stephens Rock and Dirt, Inc. is clean and not contaminated with any Hazardous or Unacceptable Material such as lead, PCBs, gas, diesel, oil, waste water sludge sewerage, asbestos or any other material set forth by Georgia EPD deemed a prohibited waste. Further, said material is not Hazardous Waste as defined by US EPA or contains PCBs regulated by 40 CFR 761.

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