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WORKSHEET <br />The Toxics Board provides the following suggested format for use by companies in maintaining records. While there is no requirement to use exactly this format, all <br />the information contained on this worksheet will be needed during audits, and such information will be an essential part of audit "proof' that the reported numbers <br />have appropriate bases in fact. During audits, companies must be prepared to produce the records that were used to determine their reported pounds of all inputs and <br />outputs. The auditor will need to know the basis of the estimate, and may recommend that a different basis be used in the future, or recommend to the Toxics Board <br />that the current report be corrected. All recommendations are subject to review. It is the intent of the Toxics Board to work with companies to achieve the most <br />appropriate level of reporting accuracy. <br />Input # Output # <br />Description _ <br />Reporting Year: <br />Company Name <br />CAS # <br />Chemical Name <br />EHS: Yes / No (circle one) <br />Amount reported: pounds <br />Basis of Estimate (see page 19 of this handbook). Circle one: M C E O <br />Rationale for Basis of Estimate: <br />Location(s) of raw data: <br />-37- <br />