Application for Transport Canada Registration

in accordance with appendix C of CAN/CGSB-43.146-2002 "Design, Manufacture and Use of Intermediate Bulk Containers for the Transportation of Dangerous Goods"

I, ______________________________________________________________

of _____________________________________________________________

________________________________________________________________

________________________________________________________________

request that Transport Canada conduct an assessment of the facility located at:

________________________________________________________________

for conformance with Appendix C of CAN/CGSB-43.146-2002 "Design, Manufacture and Use of Intermediate Bulk Containers for the Transportation of Dangerous Goods".

I agree to permit a representative of Transport Canada to conduct audits of this facility at any time during working hours. I understand that the Certificate of Registration is issued on condition that conformance with requirements of the standard, as determined by an audit, is maintained.

I have attached an uncontrolled copy of the quality assurance program documentation (including procedures, forms and sample markings) for the preparation, leak testing, inspection, refurbishing, marking and record keeping operations relating to:

____ the leak-test and inspection of Intermediate Bulk Containers (IBC's), including:

          Metal IBCs ___ Plastic IBCs ___ Composite IBCs ___ and/or

___the inspection of Mobile IBC's (UN Standard Mobile IBC, UN 31, TC 57 and ULC 142.13).

This company provides leak-test and inspection services for the industry : yes ____ no ____

Signed _________________________________(Officer of the Company)

Date ___________________________________

Send to :

Transport Canada
Transport of Dangerous Goods
Regulatory Affairs (ASDD)
Place de Ville 9th floor, 330 Sparks St.
Ottawa ON K1A 0N5