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Archived: Code of Practice for management of air emissions from pulp and paper mills: appendix 4


Appendix 4: Report Template for Assessing Compliance with the Code of Practice for the Management of Air Emissions from Pulp and Paper Mills

This report template can be used to demonstrate compliance with the “Compliance Assessment Report” section of the Code of Practice.

Name and civic address of the mill:
__________________________________________________________________________________
__________________________________________________________________________________

Period covered by report: From January 1st to December 31st _________

Mill subject to standards governing

Total particulate matter (TPM)
Source Annual quantity emitted
(tonne)
Type of measurement (continuous or by sampling) Method used
Total quantity emitted (tonne)      
Recovery boilers      
Dissolving tanks      
Boilers      
Lime kilns      
Thermal oxidizers      
Other combustion sources (specify):      
Annual limit (tonne)      

 

Sulphur dioxide (SO2)
Source Annual quantity emitted
(tonne)
Type of measurement (continuous or by sampling) Method used
Total quantity emitted (tonne)      
Recovery boilers      
Dissolving tanks      
Boilers      
Lime kilns      
Thermal oxidizers      
Other combustion sources (specify):      
Annual limit (tonne)      

 

If the total quantity emitted exceeds the total limit, provide the causes and describe the actions planned to achieve compliance:

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

I declare that this report is accurate and complete.

_________________________________
Operator’s name (please print)

_____________________
Position title

 

_________________________________
Telephone

_____________________
Email

 

_________________________________
Operator’s signature

_____________________
Date of signature

Confidential Information

To promote transparency, information provided to the federal Departmenet of the Environment may be treated as public information, unless a written request for confidentiality is submitted. The written request for confidentiality should be submitted at the same time as the information is provided and must identify specific pieces of information that are considered to be confidential and the reasons why they should be treated as such.

Please send the completed report to:

Director
Environment and Climate Change Canada, Forest Products and Fisheries Act Division
Place Vincent Massey, 351 St. Joseph Blvd., Gatineau QC K1A 0H3
Email: FPFA-PFLP@canada.ca

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2020-11-12

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