567—213.5 (455D) Certification of compliance. A manufacturer or distributor of packaging or packaging components shall make available to purchasers, to the department, and to the general public upon request, certificates of compliance conforming to the requirements of this rule. Certificates provided shall substantially conform with either or both, as applicable, of the following forms:
REDUCTION OF TOXICS IN PACKAGING LAW
CERTIFICATE OF COMPLIANCE
We certify that all packaging and packaging components sold to  	
(Company Name)
or its subsidiaries in the State of Iowa comply with the requirements of this law, namely that the sum of the incidental concentration levels of lead, mercury, cadmium, and hexavalent chromium present in any package or package component shall not exceed the following:
600 Parts Per Million by weight
(Effective July 1, 1992)
250 Parts Per Million by weight
(Effective July 1, 1993)
100 Parts Per Million by weight
(Effective July 1, 1994)
We further certify that in cases where the regulated metals are present at levels less than the schedule stated above, the regulated metals were not intentionally added during the manufacturing process.
We further certify that no material used to replace the regulated metals are present in a quantity or manner that creates a hazard as great or greater than the hazard created by the regulated materials.
We will maintain adequate documentation of this certification for inspection upon request.
Company Name  	
Address  	
	
Certified by:

(Name)	 	(Signature)	
 	 	 	
 	(Title)	 	
Date:  	
REDUCTION OF TOXICS IN PACKAGING LAW
CERTIFICATE OF COMPLIANCE—EXEMPTION STATUS
We certify that all packaging and packaging components sold to  	
(Company Name)
or its subsidiaries in the State of Iowa are in compliance with the law. However, certain packages or packaging components produced by  	
(Company Name)
are exempt from this law for one or more of the following reasons:
Package or packaging components were made or delivered before the law was signed into effect:
(List package or packaging component)  	
Package or packaging component contains heavy metals in order to comply with state or federal health and safety requirements or there is no feasible alternative (i.e., the regulated substance is essential to the production, safe handling, or function of the package’s contents):
(List package or packaging component)  	
Package or packaging component is made from postconsumer material:
(List package or packaging component)  	
Alcoholic beverage bottled prior to effective date:
(List package or packaging component)  	
We will maintain adequate documentation of this certification for inspection upon request.
Company Name  	
Address  	
	
Certified by:

(Name)	 	(Signature)	
 	 	 	
 	(Title)	 	
Date:  	
If the manufacturer or distributor of the package or packaging component reformulates or creates a new package or packaging component, the manufacturer or distributor shall provide an amended or new Certificate of Compliance for the reformulated or new package or packaging component.