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

1 Information respecting recycler:

• (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 recycler

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 recycled during a calendar year:

• (a) calendar year

• (b) total quantity, in kilograms, recycled

• (c) total quantity, in kilograms, recycled for re-use in dry cleaning

• (d) total quantity, in kilograms, recycled for re-use in degreasing

• (e) total quantity, in kilograms, recycled for other uses (identify each other use)