Schedule 1

Subsections 2(1) and 33(2)

Information for extension of period for repair of equipment component

Pursuant to subsection 33 of the Regulations Respecting Reduction in the Release of Methane and Certain Volatile Organic Compounds (Upstream Oil and Gas Sector).

1. an operator for an upstream oil and gas facility that must repair an equipment component on or before the end of a period referred to in paragraph 32(1)(b) may, not later than 45 days before the end of the period, apply to the minister to extend the period for up to six months
2. the minister must grant the application and extend the period for up to six months if the application contains the information set out in schedule 1 and:
   1. documents that establish that, as of the making of the application, there are reasonable grounds to conclude that it is not technically feasible to complete the repair of the equipment component before the end of the next planned shutdown
   2. documents that establish that the applicant has a plan to repair the equipment component that sets out:
      1. the expected date for the completion of the repair
      2. the steps to be taken to ensure completion of the repair on or before that date
      3. a justification, with supporting documents, for the belief that that date is the earliest feasible date to complete the repair, and
      4. measures to be taken to minimize, if not eliminate, any harmful effect on the environment or human health from the emission of hydrocarbon gas before the completion of the repair
   3. a statement that the implementation of the plan is to begin within 30 days after the day on which the extension is granted
3. the period granted under subsection (2) may be further extended by application made under subsection (1), at most two applications for a further extension may be made
4. the minister must refuse the application if the minister has reasonable grounds to believe that the applicant has provided false or misleading information in the application

This form does not in any way supersede or modify the regulations, or offer any legal interpretation of those regulations. Where there are any inconsistencies between this form and the regulations, the regulations take precedent.

If using this template, please save in Excel or comma-separated values (CSV) format and send by email to ec.methane-methane.ec@canada.ca.

Date (dd/mm/yyyy) __________

1.1 Operator information

Name __________

Civic address

Civic address - street address (for example, 1 Main street) __________
Civic address - city __________
Civic address - province or state __________
Civic address - country __________
Civic address - postal code (for example, K1A 0H3) or zip code __________

1.2 Authorized official information

Name __________
Job title __________
Telephone (for example, XXX‑XXX‑XXXX + ext.) __________
Email address __________

Civic address

Civic address - street address (for example, 1 Main street) __________
Civic address - city __________
Civic address - province or state __________
Civic address - country __________
Civic address - postal code (for example, K1A 0H3) or zip code __________

Postal address

Postal address - street address (for example, 1 Main street) __________
Postal address - city __________
Postal address - province or state __________
Postal address - country __________
Postal address - postal code (for example, K1A 0H3) or zip code __________

1.3 Contact person information

(If different from the authorized official, provide contact person information)

Name __________
Job title __________
Telephone (for example, XXX‑XXX‑XXXX + ext.) __________
Email address __________

Civic address

Civic address - street address (for example, 1 Main street) __________
Civic address - city __________
Civic address - province or state __________
Civic address - country __________
Civic address - postal code (for example, K1A 0H3) or zip code __________

Postal address

Postal address - street address (for example, 1 Main street) __________
Postal address - city __________
Postal address - province or state __________
Postal address - country __________
Postal address - postal code (for example, K1A 0H3) or zip code __________

1.4 Facility information

Facility name __________

All provincial identification numbers related to the facility and used for reporting to provincial authorities

Provincial ID system name # 1 __________
Provincial ID # 1 __________
Provincial ID system name # 2 __________
Provincial ID # 2 __________
Provincial ID system name # 3 __________
Provincial ID # 3 __________
Provincial ID system name # 4 __________
Provincial ID # 4 __________
Provincial ID system name # 5 __________
Provincial ID # 5 __________

All federal identification numbers for the facility (if any)

Federal ID system name # 1 __________
Federal ID # 1 __________
Federal ID system name # 2 __________
Federal ID # 2 __________
Federal ID system name # 3 __________
Federal ID # 3 __________

Facility civic address

Civic address - street address (for example, 1 Main street) __________
Civic address - city __________
Civic address - province __________
Civic address - country __________
Civic address - postal code (for example, K1A 0H3) __________

(If the civic address is not available, provide one of the following:)
Longitude (at least 3 decimal places) and __________
Latitude (at least 3 decimal places) or __________
National topographic system (expressed to nearest unit) or __________
If it is located in Manitoba, Saskatchewan or Alberta, facility legal subdivision (for example, 00-00-0-00-00-W0) __________

1.5 Shutdown

Date on which the next planned shutdown of the facility is to end (dd/mm/yyyy) __________

1.6 Equipment component description

Component identifier __________
Component make __________
Component model __________
Component manufacturer name __________
Component manufacturing location __________
Description of the equipment component, including an explanation of its functions within the production processes of the facility and how those functions are carried out __________
Any other information that is relevant to determine whether it is technically feasible to complete the repair of the equipment component before the end of the next planned shutdown __________

Comments __________

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