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RECYCLING FACILITY ANNUAL REPORTING FORM — CALENDAR YEAR 2011 <br />BEFORE YOU BEGIN <br />Confidentiality of Report <br />Under 6 CCR 1007 -2 Section 8.4.3, facilities may request confidential business protection on volume and quantity data <br />submitted per C.R.S. 24- 72- 204(3)(a)(IV). The Division will not disclose any records in its possession identified as <br />"confidential business information" or as a "trade secret" without giving the party raising the claim notice of the request <br />and an opportunity to contest the release of the information. The burden of proving that the information is protected as a <br />trade secret is on the party raising the claim. <br />In order to claim this protection, you must meet the following requirements: <br />1. you must show that you have taken reasonable measures to protect the confidentiality of the information, and that <br />you intend to continue to take such measures; <br />2. the information is not, and has not been, reasonably obtainable without your consent by other persons using <br />legitimate means; <br />3. either: <br />i. you have satisfactorily shown that disclosure of the information is likely to cause substantial harm to your <br />competitive position; or <br />ii, the information is voluntarily submitted information and its disclosure would be likely to impair the <br />Government's ability to obtain necessary information in the future; <br />4. no statute specifically requires disclosure of the information; and <br />5. you have to assert a claim of business confidentiality in writing. You may do so by checking the box below, <br />adding your facility information and submitting along with your reporting forms. <br />I have read Items 1 -5 and am hereby requesting that information submitted on my 2011 Recycling Facility Reporting <br />Forms be kept as confidential information. © Yes (Box MUST be checked to claim privilege) <br />Facility Name: Broda's Inert Fill - Aggregate Industries Platte Valley Pit <br />Street Address: 1859 Hwy 85 City: Brighton Zip Code: 80603 <br />Telephone: 303 - 808 -2500 County: Weld <br />Submitted By: Pat Broda Date: 04/26/2012 <br />If you would like confirmation of receipt of your form, provide your email address: molenassociatesagmail.com <br />Submit only one confidentiality form per facility. Applies only to facility identified above. <br />Due May 1, 2012 <br />