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Appendix B <br />Reporting Forms and Su Worksheet <br />The four pages in Appendix B contain examples of electronic reporting forms, and an example of <br />the certification form required to be submitted with materials balance reports, as well as a <br />worksheet that can be used to document chemical use. <br />Pages 34 and 35 show the electronic reporting forms as they will appear to businesses using the <br />reporting software supplied by the City. User instructions will be sent to businesses required to <br />report each year. <br />Below is an example of a completed on- screen facility information page. <br />1 w•4� • O <br />� 11t111�eMF�M�MY p <br />16 • 0,3M • <br />-34- <br />