Please fix the following errors
    Please fix the following errors

      Restricted Substances

      Indicate whether any of the following substances are present, providing the exact or maximum concentration for any 'Yes' response. All reported information will be available for review at the bottom of this form prior to submission.
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      Substance
      CAS Number
      Yes
      No
      Concentration
      UOM
      Comment
      Indicate whether any of the following substances are present, providing the exact or maximum concentration for any 'Yes' response. All reported information will be available for review at the bottom of this form prior to submission.
      Reset Section
      Substance
      CAS Number
      Yes
      No
      Concentration
      UOM
      Comment
      Indicate whether any substances belonging to the following groups are present. Click the 'Add' icon to provide the name, CAS number and exact or maximum concentration for any 'Yes' response. All reported information will be available for review at the bottom of this form prior to submission.
      Reset Section
      Group
      Yes
      No
      Declare Substances
      Comment
      Declared Substances
      All restricted substance information declared in this form is displayed in the table below. Please review to confirm the information is accurate prior to submission.

      Authorizer Information

      Attach Documents

      Please attach all relevant supporting documentation and provide a unique document title for each attachment.
      English is the preferred language for all documents.
      Please fix the following errors