Renewal Application for Licence to Purchase a Regulated Substance Under the Ozone Layer Protection Regulations

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Personal information on this form is collected under section 31(c) of the Freedom of Information and Protection of Privacy Act R.S.P.E.I. 1988, c. F-15.0.1 as it relates directly to and is necessary for the Renewal Application for Licence to Purchase a Regulated Substance Under the Ozone Layer Protection Regulations as required under Section 6 of the Ozone Layer Protections Regulations. If you have any questions about this collection of personal information, you may contact the Chief Boiler Inspector, Department of Agriculture and Land, 31 Gordon Drive Charlottetown, PE, Canada C1A 7N8 Tel: 902-368-5567. 

Identification
For example C1B 0X1 or 12345
For example 902-555-5555
For example 902-555-5555
For example 902-555-5555