Schedule 3

Subsections 54(1) and (3)

Information for registration of a facility

Pursuant to subsection 54 of the Regulations Respecting Reduction in the Release of Methane and Certain Volatile Organic Compounds (Upstream Oil and Gas Sector).

1. an upstream oil and gas facility in respect of which any of sections 5, 9, 11, 14 and 15 apply or in respect of which sections 26 to 45 apply and an offshore facility in respect of which section 46 applies must be registered by providing the minister with a registration report for the facility that contains the information set out in Schedule 3
2. the facility must be registered not later than 120 days after the later of:
   1. January 1, 2020, and
   2. the earlier of:
      1. the first day on which any of sections 5, 9, 11, 14, 15 and 46 apply in respect of the facility, and
      2. the first day of the month referred to in subsection 20(1) as of which sections 26 to 45 apply in respect of the facility
3. if there is a change such that the information provided in the facility’s registration report is no longer accurate, a notice to that effect that contains the updated information, along with the information referred to in item 4 of Schedule 3, must be sent to the minister not later than 90 days after the change

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.

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Date (dd/mm/yyyy)
Report type (new, update, update - not active) __________

3.1 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 __________

3.2 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 __________

3.3 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 __________

3.4 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 __________

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) __________

3.5 Records information

Are the required records and supporting documents kept at the upstream oil and gas facility? (Yes or no) __________

(If records are not kept at the upstream oil and gas facility to which they relate, provide the civic address of where they are kept)
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) __________

Comments __________

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