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i <br />(Only complete this page if your business has t7zde secret lntotTaianon) <br />f , <br />Businesses art required to disclose hazardous materials involving trade srcrcts. Businesses must notify <br />the administering agency in wn' ing that the inventory sheets eontaLm traffic s:= -t info=6on. <br />If your business has tz-zdc scores, please sign blow. This statcu,::.t 'will b` kept on file u;th your <br />N.azardous \latcrial'Vtanascment Plan. <br />TT—,—dr— Saris try include, but are not li.^.ited to. any fc„Hula, plan, pmccss, tool, mech-^ism. <br />compound, procedure, production data, or co,:tpilarion of infot�natjon which is not patented, which is <br />hnown only to certain individuals within a commercial concern who arc using it to fabricate, produce, <br />cr compound an arLcic of trade or a sen'ice having cotntnc `i.?1 value and which gives its user art <br />oapc unity to obtain a business aivanz,e over cornpeators who do not '!now or use it <br />DMItiISTERING AGENCY IS REQUIRED TO PROTECT <br />DISCLOSURE OF ANY TRADE SECRETS <br />1. Upon rucipt of a r yucst for �.,� sec;tt d:sclosu” the adminis e: ir.g 2gcncy will nodfv c <br />busincss in urivng by ccn ificd t•n.jl with a r•cn � <br />:ucipt_ <br />7r)-. business will be given 30 drti's to rlic an ardor, in an approp;iat= coup of a dccl=!O, <br />Judgment i`at i^e rccucstcd info nnauon is subject to protection as a ts-a6c s=rcL <br />3. if a.`tc 30 Lys he business docs not file zn action, he informat:�n v.ill tr r:lcascd 23rc�ttcstcd. <br />'game of Business <br />Name <br />PUN7 <br />Signature <br />;v <br />Title <br />Date <br />