Solvent Degreasing Regulations (SOR/2003-283)

1 Person Retiring Consumption Unit

• (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 notice on behalf of the person retiring consumption unit

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) date retirement of consumption units is to be effective

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

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

• (d) quantity, in kilograms, of consumption units to be retired

• (e) reason for retirement of the consumption units