Archived: Code of Practice for management of air emissions from pulp and paper mills: appendix 4
Appendix 4: Report Template for Assessing Compliance with the Code of Practice for the Management of Air Emissions from Pulp and Paper Mills
This report template can be used to demonstrate compliance with the “Compliance Assessment Report” section of the Code of Practice.
Name and civic address of the mill:
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Period covered by report: From January 1st to December 31st _________
Mill subject to standards governing
| Source | Annual quantity emitted (tonne) |
Type of measurement (continuous or by sampling) | Method used |
|---|---|---|---|
| Total quantity emitted (tonne) | |||
| Recovery boilers | |||
| Dissolving tanks | |||
| Boilers | |||
| Lime kilns | |||
| Thermal oxidizers | |||
| Other combustion sources (specify): | |||
| Annual limit (tonne) |
| Source | Annual quantity emitted (tonne) |
Type of measurement (continuous or by sampling) | Method used |
|---|---|---|---|
| Total quantity emitted (tonne) | |||
| Recovery boilers | |||
| Dissolving tanks | |||
| Boilers | |||
| Lime kilns | |||
| Thermal oxidizers | |||
| Other combustion sources (specify): | |||
| Annual limit (tonne) |
If the total quantity emitted exceeds the total limit, provide the causes and describe the actions planned to achieve compliance:
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I declare that this report is accurate and complete.
_________________________________
Operator’s name (please print)
_____________________
Position title
_________________________________
Telephone
_____________________
Email
_________________________________
Operator’s signature
_____________________
Date of signature
Confidential Information
To promote transparency, information provided to the federal Departmenet of the Environment may be treated as public information, unless a written request for confidentiality is submitted. The written request for confidentiality should be submitted at the same time as the information is provided and must identify specific pieces of information that are considered to be confidential and the reasons why they should be treated as such.
Please send the completed report to:
DirectorEnvironment and Climate Change Canada, Forest Products and Fisheries Act Division
Place Vincent Massey, 351 St. Joseph Blvd., Gatineau QC K1A 0H3
Email: FPFA-PFLP@canada.ca
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