BEFORE THE OIL AND GAS CONSERVATION COMMISSION
OF THE STATE OF COLORADO
IN THE MATTER OF STATEWIDE ADOPTION OF FORM 35 - CONFIDENTIALITY AGREEMENT AS REQUIRED BY THE HYDRAULIC FRACTURING CHEMICAL DISCLOSURE RULE ADOPTED BY ORDER NO. 1R-114 |
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CAUSE NO. 1 ORDER NO. 1- 174 |
REPORT OF THE COMMISSION
TO ALL INTERESTED PARTIES AND TO WHOM IT MAY CONCERN:
Pursuant to a hearing before the Oil and Gas Conservation Commission on March 5, 2012, in Suite 801, The Chancery Building, 1120 Lincoln Street, Denver Colorado, the Oil and Gas Conservation Commission approved Form 35- Confidentiality Agreement as provided below:
CONFIDENTIALITY AGREEMENT
a) Health Professional has requested in writing and provided to Custodian a written statement of need (as described in the COGCC Rules) for the specific identity of chemicals and the concentration thereof used in the Custodian’s operations (“Trade Secret Information”); or
b) Upon determination that a medical emergency exists and the Trade Secret Information is necessary for emergency medical treatment, the Custodian disclosed Trade Secret Information to Health Professional upon a verbal acknowledgement by Health Professional that such information will not be used for purposes other than the health needs asserted, and that the Health Professional shall otherwise maintain the information as confidential. Custodian may request a written statement of need, and a confidentiality agreement as soon as circumstances permit from all Health Professionals to whom Trade Secret Information was disclosed in an emergency situation.
IN WITNESS WHEREOF, the Parties hereto have duly executed this Agreement as of the date noted below.
Date:__________________ Custodian
By:_________________________________
Name:______________________________
Company:___________________________
Title:_______________________________
Date:___________________ HEALTH PROFESSIONAL
By:_________________________________
Name:______________________________
This Form 35 shall be effective upon approval, March 5, 2012
OIL AND GAS CONSERVATION COMMISSION
OF THE STATE OF COLORADO
By
Peter J. Gowen, Acting Secretary
Form 35 can be found on our homepage under FORMS