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Attachment B. <br />Below is an example of a completed on-screen materials balance report for a single chemical. <br />On page 36 is an example of the certification form that is to be executed by each reporting <br />company and submitted to the City along with the electronic materials balance report each year. <br />Page 37 is a suggested worksheet that companies may use to assist them in documenting <br />chemical use and calculation methodology. This worksheet is not required, but businesses are <br />expected to produce adequate documentation when their reports are audited. <br />- 35- <br />