1 The name and civic address of the operator.
2 The name, job title, civic and postal addresses, telephone number and email address of the operator’s authorized official.
3 The name, job title, civic and postal addresses, telephone number and email address of a contact person, if different from the authorized official.
4 The name of the facility and the federal and provincial identification numbers for the facility, if any, and its civic address or, if the civic address is not available,
(a) its latitude and longitude to the third decimal place;
(b) its location expressed to the nearest unit of the National Topographic System produced by the Department of Natural Resources; or
(c) the legal subdivision within which the facility is located, if it is located in Manitoba, Saskatchewan or Alberta.
5 The date on which the next planned shutdown of the facility is to end.
6 The following information in respect of the equipment component for which the extension to the period by which it must be repaired is applied for:
(a) the identifier for the equipment component, along with its make and model, if that information is available;
(b) the name of its manufacturer, along with the manufacturing location;
(c) a description of the equipment component, including an explanation of its functions within the production processes of the facility and how those functions are carried out; and
(d) any other information that is relevant to determine whether it is technically feasible to complete the repair of the equipment component before the end of the next planned shutdown.
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