TOXIC SUBSTANCE CONTROL ACT (TSCA) CERTIFICATION

Please check the appropriate box:

q I certify that all chemical substances in this shipment comply with all
applicable rules or orders under TSCA and that I am not offering
chemical substance entry violation of TSCA or any applicable rule or
order thereunder.

q
✘ I certify that all chemicals in this shipment are not subject to TSCA.

CV. Mahogany Crafter

Company name ____________________________________________

Name Intan Eko Prasetyo

____________________________________________

Title Director
____________________________________________

Date 08/23/19 mm/dd/yy

____________________________________________

Signature ____________________________________________