1. Transferor 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 information on behalf of the transferor

2. Transferee 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 information on behalf of the transferee

3. Confidentiality

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.

4. Solvent and Degreasing Process Information

• (a) name of solvent for which consumption units were issued (see column 1 of Schedule 1)

• (b) name of degreasing process for which consumption units were issued (see column 2 of Schedule 1)

• (c) year to which the issued consumption units apply

• (d) effective date of consumption unit transfer

• (e) consumption units, in kilograms, for the following:

  • (i) issued to the transferor before transfer

  • (ii) transferor’s unexpended units before transfer

  • (iii) unexpended consumption units to be transferred