Form ID

Publication date

Location of premises

Certificate

Installation of Oil/Water Separator.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Petro-Canada.
Address of Owner
3275 Rebecca St., Oakville, ON.
Name of Contractor
Superior Petroleum Maintenance Ltd.
Address of Contractor
812 Frontenac Street, Sault Ste. Marie, ON.
Name of Certifier
Petro-Canada.
Address of Certifier
3275 Rebecca Street, Oakville, ON.

Identification of Premises

First: Pt Lt 26, Con A Rideau Front, Part 1, 5R8623, S/T CR369967 Second: Pt Lt 26 Con A Rideau Front, as TW NS60265 Except Pt 31, 5R11115, S/T N461247 Nepean.