• 1. Information respecting importer:

  • (a) name, civic and postal addresses of principal place of business, e-mail address, if any, telephone number and fax number, if any

  • (b) name, title, civic and postal addresses, e-mail address, if any, telephone number and fax number, if any, of the person authorized to act on behalf of the importer

• 2. 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.

• 3. Information respecting the quantity of tetrachloroethylene imported during a calendar year:

  • (a) calendar year

  • (b) total quantity, in kilograms, imported

  • (c) total quantity, in kilograms, imported for own use in dry cleaning

  • (d) total quantity, in kilograms, imported for use in dry cleaning (including quantity imported for own use)

  • (e) total quantity, in kilograms, imported for use in degreasing

  • (f) total quantity, in kilograms, imported for use as chemical feedstock

  • (g) total quantity, in kilograms, imported for other uses (identify each other use)