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Attachment B. <br />City of Eugene Toxics Right-to-Know Program <br />TRADE SECRET DENIAL - REQUEST FOR RECONSIDERATION <br />This form must be submitted within 30 days of receipt of notice of denied trade secrecy claim <br />Company Name: ____________________________________________________________ <br />Street Address: ____________________________________________________________ <br />City, Zip code: ____________________________________________________________ <br />Trade secret chemical name in question: __________________________________________ <br />Person completing form: _________________________ Telephone number: _______________ <br />Brief description of facts and arguments supporting the request for reconsideration of a trade <br />secret claim denial (attach additional documentation if necessary): <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />_____________________________________________________________________________________ <br />Will you be represented by Counsel at the Toxics Board meeting to hear your request? ________ <br />Name of Counsel: ____________________________________________ <br />Signature: __________________________________ Date: _______________________ <br />- 52- <br />