Environment, Climate and Parks

Application to Request a Transfer of Ownership of a Permit to Operate a Fixed Petroleum Product or Allied Product Storage Tank System

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Application to Request a Transfer of Ownership of a Permit to Operate a Fixed Petroleum Product or Allied Product Storage Tank System

In accordance with Section 42 of Storage and Handling of Petroleum and Allied Products Regulation, M.R. 188/2001.

Transfers of permits or real properties are required to be in compliance with Part 8 of the regulation.

For more information on the petroleum storage program, please visit the website.

Personal information is collected under the authority of The Dangerous Goods Handling and Transportation Act, the Storage and Handling of Petroleum Products and Allied Products Regulation and is used to issue permits and for enforcement purposes. Information collected is protected by the privacy provisions in The Freedom of Information and Protection of Privacy Act.

Part A: Certification

Name of Applicant:
(First and last name of person completing this submission. Must be the individual storage tank system owner or a representative of the business having ownership of the system)

I hereby certify that the information contained on this form is complete and accurate.

Declaration

I, the transferee or an authorized representative for the transferee, of the permit identified in this application, assume responsibility and liability for any further action that may be required under Part 9 of the Regulation as well as any outstanding orders issued under the Act or the Regulation in respect of the system.

I agree to the statement above.

Part B: Storage Tank System New Owner Information

Legal Name of New Storage Tank System Owner - Corporation or Individual

Postal Box Number

Tank System Owner Mailing Address

City/Town/Other

Province/State

Postal Code/Zip Code

Contact Person

Contact Person Phone Number

Contact Person Email Address

Confirm email address

Part C: Permit Information

Existing Permit Number

Storage Tank System Legal Land Description

Previous Operation Name

New Operation Name if different from previous

Operator Information

Is the storage tank system Operator the same as the Owner? Yes No

Storage Tank System Operator (corporation or individual's name) Operator Mailing Address City Postal Code Contact person Phone Number Fax Email Confirm email address

Effective Date

Effective Date of New Ownership