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CERTIFICATE OF AUTHORISATION APPLICATION FORM - …

Page 1 of 2 APPLICATION for Non-Nuclear Ontario CERTIFICATE of authorization Technical Standards and Safety Act Boilers and Pressure Vessels Regulation This APPLICATION is for the following location: Company (Applicant) Name: (Full company name as it should appear on CERTIFICATE of authorization ) Corp No. or Business Identification No: Phone Number: Email: Billing/Mailing Address Street No.: Street Name: Unit/Suite: City Town: Province: Postal Code: Department/Division: (if required on CERTIFICATE ) Facility Address: (Full street address - DO NOT PROVIDE A BOX) This APPLICATION is for (check all applicable): RENEWAL CERTIFICATE NEW CERTIFICATE FIELD SITE FACILITY/NAME CHANGE ASME Only PLANT C SA B51 Only ASME & CSA B51 If Renewal: (Current CERTIFICATE Number(s)) Expiration Date(s): Type of CERTIFICATE of authorization for which APPLICATION is being made, check all applicable boxes.

Application for Non-Nuclear Ontario Certificate of Authorization . Technical Standards and Safety Act . Boilers and Pressure Vessels Regulation . This application is for the following location: Company (Applicant) Name: (Full company name as it should appear on Certificate of Authorization)

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