Solvent Degreasing Regulations (SOR/2003-283)

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

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 Solvent and Degreasing Process Information

• (a) name of solvent (see column 1 of Schedule 1)

• (b) name of degreasing process (see column 2 of Schedule 1)

• (c) date of commencement of the use of the solvent in the degreasing process

• (d) years to be used for the average annual consumption

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.