Form ID

Publication date

Location of premises

Certificate

C. Store / Car Wash Retrofit

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shell Canada Products
Address of Owner
400 4th Avenue SW, Calgary, AB
Name of Contractor
Laurin & Company
Address of Contractor
43 Auriga Drive, Nepean, ON
Name of Certifier
Shell Canada
Address of Certifier
90 Sheppard Avenue East, Toronto, ON

Identification of Premises

Registered Plan 43M-674, City of Mississauga, Region of Peel