Form ID

Publication date

Location of premises

Certificate

Chemical Spillage Disposal

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
L.V. Lomas Ltd.
Address of Owner
99 Summerlea Road, Brampton, ON L6T 4V2
Name of Contractor
Berkim Construction Inc.
Address of Contractor
120 Willowbank Avenue, Toronto, ON M2N 4Y2
Name of Certifier
Trow Associates Inc.
Address of Certifier
1595 Clark Blvd., Brampton, ON L6T 4V1

Identification of Premises

Plan M643 Pt Blk 20 RP 43R13871 Part 1