Current Page 1 Page 2 Preview 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 Business/Organization Name Contact First Name Contact Last Name Address 1 Address 2 City, Town, or Community Province Postal Code For example C1B 0X1 or 12345 Country Telephone 1 For example 902-555-5555 Telephone 2 For example 902-555-5555 Fax Number For example 902-555-5555 Email Address License Number