1 Applicant Information
(a) name, civic and postal addresses, e-mail address, if any, telephone number and fax number, if any
(b) number of facilities and civic address for each facility
(c) name, civic and postal addresses, e-mail address, if any, telephone number and fax number, if any, of the person authorized to submit the request on behalf of the applicant
Indicate if a request for confidentiality is being made under section 313 of the Canadian Environmental Protection Act, 1999 and the reason for the request.
3 Solvent and Degreasing Process Information
4 Information concerning average annual consumption
For each year relied on to establish the annual consumption, provide the following information with quantities in kilograms with respect to the solvent:
(a) opening inventory;
(b) quantity supplied by sellers (identify each seller by name and civic address);
(c) quantity supplied by others (identify each supplier by name and civic address);
(d) quantity sold or transferred to others (identify each purchaser or transferee by name and civic address); and
(e) closing inventory.
- Date modified: