Schedules

Calendar Quarter ___________________________________________

Year ___________________________

Name of Producer or Importer: ____________________________

Name of Facility Producing Light Fuel Oil or Heavy Fuel Oil: ___________

Street Address of Facility Producing Light Fuel Oil or Heavy Fuel Oil:

________________________________________

________________________________________

________________________________________

Street Address of Importer's Place of Business in Canada:

________________________________________

________________________________________

________________________________________

Volume of Light Fuel Oil (m³) and Quarterly Average Sulphur Concentration (percent by mass):

Volume

Sulphur Concentration

(a) Produced at a facility in Canada

___________

____________

(b) Imported into a province from outside Canada

___________

____________

(c) Sold (only volume information)

___________

Volume of Heavy Fuel Oil used in a Sulphur-controlled Facility (m³) and Quarterly Average Sulphur Concentration (percent by mass):

Volume

Sulphur Concentration

(a) Produced at a facility in Canada

___________

____________

(b) Imported into a province from outside Canada

___________

____________

(c) Sold (only volume information)

___________

Volume of Heavy Fuel Oil not used in a Sulphur-controlled Facility (m³) and Quarterly Average Sulphur Concentration (percent by mass):

Volume

Sulphur Concentration

(a) Produced at a facility in Canada

___________

____________

(b) Imported into a province from outside Canada

___________

____________

(c) Sold (only volume information)

___________

________________________________________
Name of Authorized Official

________________________________________
Signature of Authorized Official

________________________________________
Title

________________________________________
Telephone no.

________________________________________
Fax no.

________________________________________
Date of Signature

Note: The information contained in Schedule 1 must be submitted separately for each facility that produces light fuel oil or heavy fuel oil and for each province that light fuel oil or heavy fuel oil is imported into from outside Canada.

Company name ____________________________________________

Company mailing address
____________________________________________

____________________________________________

____________________________________________

Registration number(s) under section 7 of the Benzene in Gasoline Regulations

(if one or more were provided to the company by the Minister): ___________________

Check one or more:

[ ] Producer in Canada of light fuel oil
[ ] Producer in Canada of heavy fuel oil for use in a sulphur-controlled facility
[ ] Producer in Canada of heavy fuel oil not for use in a sulphur-controlled facility
[ ] Importer into Canada of light fuel oil
[ ] Importer into Canada of heavy fuel oil for use in a sulphur-controlled facility
[ ] Importer into Canada of heavy fuel oil not for use in a sulphur-controlled facility

For refineries in Canada:

Name and street address (and mailing address if different) of each facility that produces light fuel oil or heavy fuel oil

Typical annual volume, in m³, of:

• light fuel oil __________________
• heavy fuel oil for use in a sulphur-controlled facility _________________
• heavy fuel oil not for use in a sulphur-controlled facility _______________

For importers into Canada:

Street address (and mailing address if different) for place of business in Canada where records and reports will be kept.

Each usual customs entry point into Canada and mode of importation (e.g., ship, rail, truck, pipeline, etc.)

Typical annual volume, in m³, of:

• light fuel oil _________________
• heavy fuel oil for use in a sulphur-controlled facility _________________
• heavy fuel oil not for use in a sulphur-controlled facility _______________

________________________________________
Name of Authorized Official

________________________________________
Signature of Authorized Official

________________________________________
Title

________________________________________
Telephone no.

________________________________________
Fax no.

________________________________________
Date of Signature

Company name ____________________________________________

Company mailing address
____________________________________________

____________________________________________

____________________________________________

For each sulphur-controlled facility owned by the company:

Street address (and mailing address if different) of the sulphur-controlled facility

__________________________________________________

__________________________________________________

__________________________________________________

Type of sulphur-controlled facility (check one):

[ ] Refinery
[ ] Power Generation Station
[ ] Pulp and Paper Facility
[ ] Mining or Ore Processing Facility
[ ] Hospital or Educational Institution
[ ] Government Facility
[ ] Other: Specify _______________________

Is the facility subject to a regulatory or permit limit on its emissions of sulphur dioxide?

[ ] No
[ ] Yes

If Yes, what is the limit _____________
If Yes, which level of government set the limit _________________

________________________________________
Name of Authorized Official

________________________________________
Signature of Authorized Official

________________________________________
Title

________________________________________
Telephone no.

________________________________________
Fax no.

________________________________________
Date of Signature