Code of practice for the management of air emissions from pulp and paper facilities: appendix 4
Appendix 4: emission assessment report template
Name and civic address of the facility:
__________________________________________________________________________________
__________________________________________________________________________________
Period covered by report: From January 1 to December 31 (year) ___________________
Facility type (check appropriate box):
- chemical ◻
- mechanical ◻
| Source | Annual quantity emitted (tonne) |
Type of measurement (continuous, sampling or emission factor) |
Method used or emission factor source |
|---|---|---|---|
| Recovery boilers | - |
- |
- |
| Dissolving tanks | - |
- |
- |
| Boilers | - |
- |
- |
| Lime kilns | - |
- |
- |
| Thermal oxidizers | - |
- |
- |
| Other combustion sources (specify): |
- |
- |
- |
| Total quantity emitted (tonne) | - |
- |
- |
| Calculated annual limit (tonne) | - |
- |
- |
| Source | Annual quantity emitted (tonne) | Type of measurement (continuous, sampling or emission factor) |
Method used or emission factor source |
|---|---|---|---|
| Recovery boilers | - |
- |
- |
| Dissolving tanks | - |
- |
- |
| Boilers | - |
- |
- |
| Lime kilns | - |
- |
- |
| Thermal oxidizers | - |
- |
- |
| Other combustion sources (specify): | - |
- |
- |
| Total quantity emitted (tonne) | - |
- |
- |
| Calculated annual limit (tonne) | - |
- |
- |
Comment box
If the total quantity emitted exceeds the total limit, provide possible causes where applicable and describe the actions planned to meet the limits or any other additional explanations as needed. (A separate document can be used for additional explanations)
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Confidentiality
An applicant who provides information to the Minister under section 313 of the Canadian Environmental Act may submit with the information a request that it be treated as confidential.
An applicant who submits such a request that information contained in the application be treated as confidential must include with that request the identification of the following:
- any information that constitutes a trade secret
- any information the disclosure of which would likely cause material financial loss to, or prejudice the competitive position of, the applicant
- any information the disclosure of which would likely interfere with contractual or other negotiations being conducted by the applicant
- any financial, commercial, scientific or technical information that is confidential and is treated consistently in a confidential manner by the applicant; and
- the reason why such information is confidential
I declare that this report is accurate and complete.
_________________________________
Operator’s name (please print)
_________________________________
Telephone
_________________________________
Operator’s signature
_____________________
Position title
_____________________
Email
_____________________
Date of signature
Confidential information
To promote transparency, information provided to the federal Department 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:
Director
Environment and Climate Change Canada
Forest Products and Fisheries Act Division
Place Vincent Massey
351 St. Joseph Blvd
Gatineau QC K1A 0H3
Email: FPFA-PFLP@ec.gc.ca
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