Form ID

Publication date

Location of premises

Certificate

Replacement of PCB Transformer

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Hospital for Sick Children
Address of Owner
555 Univesity Ave., Toronto, ON
Name of Contractor
Black & McDonald Ltd.
Address of Contractor
31 Pullman Court, Toronto, ON M1X 1E4
Name of Certifier
Rybka Smith & Ginsler Limited
Address of Certifier
18 Champlain Blvd., Toronto, ON

Identification of Premises

555 University Ave., Toronto, ON