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ATTESTATION FOR LOWER FEE GEORGIA RADIOACTIVE MATERIALS LICENSE Name of Licensee: Georgia Radioactive Materials License Number: The above licensee meets the criteria selected below (from Georgia Rule

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Small entity blower tier attestation is a form filed by small entities to confirm their eligibility for certain benefits or programs.

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Information such as company size, revenue, ownership structure, and other relevant details may need to be reported on the form.

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