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Attachment B. <br /> NOTICE TO TOXICS BOARD OF TRADE SECRET REPORTS <br />1 <br /> FILED WITH THE OFFICE OF THE FIRE MARSHAL <br />Company: _____________________________________________ <br />Tax Identification Number: _____________________________________________ <br />2 <br />Reporting Year: _____________________________________________ <br />Note: This report to the Toxics Board must be updated by April 1 each year only if there are <br />changes to the report last filed with the Toxics Board. <br />3 <br />Category: Hazardous Date Filed With <br />Code Number of Substance <br />substance (HS), extremelyFire Marshas <br />hazardous substance (EHS)Office <br />Signature ___________________________________ Date ____________________ <br />Print name ___________________________________ <br />Title ______________________________________________________________ <br />1 <br />Eugene Charter Amendment IV, Section 5.2(A)(2) <br />2 <br />The reporting year is the year previous to the April 1 reporting date. For instance, a report filed by <br />reporting year <br />April 1, 2012 would cover the of January 1 - December 31, 2011. <br />3 <br />Trade Secret Chemical Code Number is the facilitys 9-digit Tax Identification Number followed by a hyphen <br />followed by a whole number (1, 2, 3 . . . n) which uniquely identifies each trade secret chemical. A <br />company with two trade secret chemicals would have Code Numbers for those two chemicals of: <br />Tax Identification Number-1 (xx-xxxxxxx-1) <br /> <br />Tax Identification Number-2 (xx-xxxxxxx-2) <br />This form is to be filed with the Eugene Toxics Program Staff c/o Eugene Toxics Board <br />nd <br />(1705 W. 2Ave., Eugene OR 97402) when the previous form (Substantiation to <br />Accompany Claims of Trade Secrecy) is filed with the Fire Marshal for one or <br />more substances. <br />- 48- <br />