Tetrachloroethylene (Use in Dry Cleaning and Reporting Requirements) Regulations (SOR/2003-79)

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)