Section 14: Prohibition of Asbestos and Products Containing Asbestos Regulations
Please use the PDF version to complete your report. The HTML versions are provided for on-line reading purposes only.
You may complete your report electronically, or you may print it and complete the fields by hand. All reports require a signature.
Reports should be submitted by mail or email to:
Chemicals Management Division
Environment and Climate Change Canada
351 St-Joseph Blvd, 10th floor
Gatineau QC K1A 0H3
Report: import or use of processed asbestos fibres for use at a chlor-alkali facility
Section 1: information respecting the activities
Check the box(es) where appropriate:
[ ] Processed asbestos fibres were imported during the calendar year to which this report relates (complete all sections).
[ ] Processed asbestos fibres were used during the calendar year to which this report relates (complete sections 1, 2, 3, 4, 6, 7, 8 and 9).
Section 2: information respecting the chlor-alkali facility
Civic address in Canada:
Section 3: information respecting the individual who is authorized to act for the facility
Civic address in Canada:
Section 4: calendar year to which the report relates
This report is submitted for the calendar year:
Section 5: information respecting the imported processed asbestos fibres
Form and CAS RN:
Asbestos (if form is unknown) CAS RN 1332-21-4
Chrysotile CAS RN 12001-29-5
Amosite CAS RN 12172-73-5
Crocidolite CAS RN 12001-28-4
Anthophyllite CAS RN 77536-67-5
Tremolite CAS RN 77536-68-6
Actinolite CAS RN 77536-66-4
Section 6: number and percentage of cells converted to asbestos-free technology
Number of cells converted:
Percentage of cells converted:
Section 7: statement
Check the box where appropriate:
[ ] An asbestos management plan that meets the requirement of Schedule 1 of the regulations has been implemented.
Section 8: request for confidentiality
Indicate if you are requesting confidentiality under Section 313 of the Canadian Environmental Protection Act, 1999 (CEPA).
[ ] Pursuant to section 313 of the CEPA, I request that the following parts of the information I am submitting will be treated as confidential. Please specify the parts [e.g. sections, tables] and include the reason for your request.
[ ] I do not request confidentiality for the information I am submitting and I consent to its release without restriction.
Section 9: certification
I certify that this information is accurate and complete.
Signature of the individual authorized to submit this Report
This form is provided for information purposes only and may not include all legal requirements. If there is any inconsistency or conflict between the information contained in this document and the Canadian Environmental Protection Act, 1999 (CEPA) and/or the Prohibition of Asbestos and Products Containing Asbestos Regulations, the official versions of the Act and regulations take precedence. The official versions of the regulations can be found at Prohibition of Asbestos and Products Containing Asbestos Regulations (SOR/2018-196).
Privacy notice statement
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