Form ID

Publication date

Location of premises

Certificate

New Commerial Retail Gas Station

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Shell Canada Products Ltd.
Address of Owner
90 Sheppard Ave. East, Unit 600
Name of Contractor
Laurin & Company
Address of Contractor
11-52 Antares Drive, Nepean, ON K2E 7Z1
Name of Certifier
Derek Domingos
Address of Certifier
600-90 Sheppard Ave. East, Toronto, ON

Identification of Premises

Range 3 CIR PT Lot 13 Con 1 SDS Pt Lot 30 Pt Rd Allce.