Nova Scotia - Processor registration renewal form

UOMA Nova Scotia - Processor registration renewal form
******* IMPORTANT NOTICE TO READ BEFORE FILLING THE FORM *****

Before filling the Processors registration renewal form, please make sure you have the following documents in PDF format: your Civil and environment insurance certificate and the new government issued operation permit(s) (if applicable). ALL ABOVE-MENTIONED DOCUMENTS MUST BE ATTACHED TO THE FOLLOWING PROCESSORS REGISTRATION RENEWAL FORM.

From the moment we receive the following form signed and completed with all the required information, your Processor Agreement is automatically renewed.

Renewal for the year: *
Select year
Your UOMA NS processor registration number: *
Number that appears on your UOMA NS Processor certificate
Company legal name *
Address *

Street address

Street address (part 2)

City Province/State

Postal code/Zip code

Telephone number *

Area code Phone number
Extension

Contact person *
Title *
Contact person email address *

Confirmation Email Confirm the contact person's email address

Has there been any changes to your spill prevention and containment measures (e.g. berm(s) or other confinement unit(s), regular inspections of storage units, proximity of absorbents, etc) in the past year? *

Yes No
Please list all changes introduced in the past year regarding your spill prevention and containement measures (e.g. berm(s) or other confinement unit(s), regular inspections of storage units, proximity of absorbents, etc). *

In the last year, have you aquired or opened new facilities where you intend to process UOMA NS products? *

Yes No
Where is(are) located the facility(ies) your company has opened or aquired in the past year where you intend to process UOMA NS products? (Select all that applies) *

In Nova Scotia Outside of Nova Scotia

Please indicate the address of your new hazardous waste treatment facility(ies) in Nova Scotia where you intend to process UOMA NS products: *
Attach your government issued permit(s) or certificate(s) for every new facility(ies) where you intend to process UOMA NS products. *

Attach your file(s)
You can attach more than one file Cancel of
Are you required to produce a report to Nova Scotia Environment for your new hazardous waste treatment/processing installations in Nova Scotia? *

Yes No
Specify which type(s) of report(s), for which facility(ies), and the frequency at which you are required to produce such report(s). *

Please indicate the address of your new hazardous waste treatment facility(ies) outside of Nova Scotia where you intend to process UOMA NS products: *
For every new facility(ies) outisde of Nova Scotia, briefly explain what are the province or state requirements in order to treat/process the products for which you are registering with UOMA NS. *
Do you have a permit or certificate for your facility(ies) outside of Nova Scotia where you process products for which you are registering with UOMA NS? *

Yes No
Attach your government issued permit(s) or certificate(s) for every new facility(ies) where you intend to process in Nova Scotia. *

Attach your file(s)
You can attach more than one file Cancel of
Are you required to produce a report to local government authorities for your hazardous waste treatment/processing installations outside of Nova Scotia? *

Yes No
Specify which type(s) of report(s), for which facility(ies), and the frequency at which you are required to produce such report(s). *

In the last year, have you shut down operations at any treatment facility(ies) located in or out of Nova Scotia for products for which you are registered as a UOMA NS processor? *

Yes No
Please indicate the address of the hazardous waste treatment facility(ies) in or outside of Nova Scotia where you ceased processing operations related to UOMA NS products. *

In the past year, were any of your installations inspected by the Nova Scotia Environment (or the equivalent government authority if you are located outside the province of Nova Scotia)? *

Yes No
Specify the location of the inspected facility(ies) and the date of inspection. *
Over the last year, has your company received an infraction notice from the Nova Scotia Environment (or the equivalent government autority if you are located outside of Nova Scotia) regarding a processing facility whose activities are related to UOMA NS's products. *

Yes No
Attach a copy of your infraction notice *

Attach your file(s)
You can attach more than one file Cancel of
For each infraction notice your company has received, briefly explain what measures were implemented to correct the situation. *

Civil and environmental insurance certificate *

Attach you file(s)
You can attach more than one file. Cancel of

In the last year, have any of your permits been renewed or modified? *

Yes No
Please list the address and expiry date of every operation and/or treatment permit(s)/certificate(s) for facilities where activities are related to the processing of UOMA NS products. (In or outside of Nova Scotia) *
Attach every permit renewed or modified within the last year. *

Attach your file(s)
You can attach more than one file Cancel of

In the last year, were you registered with UOMA NS as a USED OILS processor? *

Yes No

For the upcoming year, would you like USED OILS to remain a product for which you are registered as a UOMA NS processor? *

Yes No

For the upcoming year, would you like to add USED OILS to the list of products for which you are registered as a UOMA NS processor? *

Yes No

Have your USED OILS processing methods remained the same since last year? *

Yes No

On the current form, you mentioned your processing methods changed in the last year or that you wish to add USED OILS to your list of products as a UOMA NS processor.

In order to keep your file up to date, you will be required to provide information about the equipment and procedures your company uses to collect USED OILS.
From the list below, select which option(s) best describes the purpose of your USED OILS processing activities. *

Energy recovery Rerefining Regeneration

How long has your company been processing USED OILS for REGENERATION? *
List the address of each facility where you process USED OILS for REGENERATION and specify the maximum storage capacity for each facility. *
Briefly describe the installations and equipments utilized for the REGENERATION of USED OILS. *
Specify the average storing period before processing *
Do you exercise quality control of the USED OILS received from the collectors? *

Yes No
Briefly explain your quality control procedures for the USED OILS received from the collectors. *
Do you require analysis performed by an accredited laboratory? *

Yes No
What is the end product's use and to whom is it shipped? *

How long has your company been processing USED OILS for RE-REFINERY? *
List the address of each facility where you process USED OILS for RE-REFINERY and specify the maximum storage capacity for each facility. *
Briefly describe the installations and equipments utilized for the RE-REFINERY of USED OILS. *
Specify the average storage period before processing. *
Do you exercise quality control of the USED OILS received from the collectors? *

Yes No
Briefly explain your quality control procedures for the USED OILS received from the collectors. *
Do you require analysis performed by an accredited laboratory? *

Yes No
What is the end product's use and to whom is it shipped? *

In the last year, were you registered with UOMA NS as a USED ANTIFREEZE processor? *

Yes No

For the upcoming year, would you like USED ANTIFREEZE to remain a product for which you are registered as a UOMA NS processor? *

Yes No

For the upcoming year, would you like to add USED ANTIFREEZE to the list of products for which you are registered as a UOMA NS processor? *

Yes No

Have your USED ANTIFREEZE processing methods remained the same since last year? *

Yes No

On the current form, you mentioned your processing methods changed in the last year or that you wish to add USED ANTIFREEZE to your list of products as a UOMA NS collector.

In order to keep your file up to date, you will be required to provide information about the equipment and procedures your company uses to collect USED ANTIFREEZE.
How long has your company been processing USED ANTIFREEZE? *
List the address of each facility where you process USED ANTIFREEZE and specify the maximum storage capacity for each facility. *
Specify the average storing period before processing *
Which method do you use to measure the water percentage and what quantities are you sampling for this verification process? *
Briefly describe installations and equipments utilized for the processing of USED ANTIFREEZE. *
Do you exercise quality control of the USED ANTIFREEZE received from the collectors? *

Yes No
Briefly explain your quality control procedures for the USED ANTIFREEZE received from the collectors. *
Do you require analysis performed by an accredited laboratory? *

Yes No
Which method are you using to verify the product's quality after processing? *

Conductivity lower than 1000 ASTM D7713 ASTM E1177
What is the end product's use and to whom is it shipped? *

In the last year, were you registered with UOMA NS as a USED FILTERS processor? *

Yes No

For the upcoming year, would you like USED FILTERS to remain a product for which you are registered as a UOMA NS processor? *

Yes No

For the upcoming year, would you like to add USED FILTERS to the list of products for which you are registered as a UOMA NS processor? *

Yes No

Have your USED FILTERS processing methods remained the same since last year? *

Yes No

On the current form, you mentioned your processing methods changed in the last year or that you wish to add USED FILTERS to your list of products as a UOMA NS processor.

In order to keep your file up to date, you will be required to provide information about the equipment and procedures your company uses to collect USED FILTERS.
How long has your company been processing USED FILTERS? *
List the address of each facility where you process USED FILTERS and specify the maximum storage capacity for each facility. *
Briefly describe installations and equipments utilized for the processing of USED FILTERS. *
Briefly explain how you keep track the USED FILTER batches received from each collectors. *
Briefly specify the sampling method used and the analysis performed on the processed USED FILTERS to ensure they meet all required criterias. *
Specify the average storage period before processing. *
How are the extracted oils (generated by the processing of USED FILTERS) treated/disposed of? *
What is the end product's use and to whom is it shipped? *

In the last year, were you registered with UOMA NS as a USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS processor? *

Yes No

For the upcoming year, would you like USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS to remain a product for which you are registered as a UOMA NS processor? *

Yes No

For the upcoming year, would you like to add USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS to the list of products for which you are registered as a UOMA NS processor? *

Yes No

Have your USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS processing methods remained the same since last year? *

Yes No

On the current form, you mentioned your processing methods changed in the last year or that you wish to add USED OIL, GLYCOL (ANTIFREEZE) AND DIESEL EXHAUST FLUID CONTAINERS to your list of products as a UOMA NS processor.

In order to keep your file up to date, you will be required to provide information about the equipment and procedures your company uses to collect USED OIL, GLYCOL (ANTIFREEZE) AND DIESEL EXHAUST FLUID CONTAINERS.
How long has your company been processing USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS? *
List the address of each facility where you process USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS and specify the maximum storage capacity for each facility. *
Briefly describe installations and equipments utilized for the processing of USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS. *
Briefly explain how you keep track the USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS batches received from each collectors. *
Briefly specify the sampling method used and the analysis performed on the processed USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS to ensure they meet all required criterias. *
Specify the average storage period before processing. *
How is the oily water (generated by the processing of USED OIL, GLYCOL (ANTIFREEZE) and DIESEL EXHAUST FLUID CONTAINERS) treated/disposed of? *
What is the end product's use and to whom is it shipped? *
Would you like to receive payments by cheque or electronic funds transfer (EFT)? - For processors of plastic containers only *

Cheque EFT
Are you already receiving payments from UOMA NS through EFT? *

Yes No
Please attach a void cheque in order to get EFT *

Attach your file

Cancel of

In the last year, were you registered with UOMA NS as a USED AEROSOL CONTAINERS (lubricants and automotive parts only) processor? *

Yes No

For the upcoming year, would you like USED AEROSOL CONTAINERS (lubricants and automotive parts only) to remain a product for which you are registered as a UOMA NS processor? *

Yes No

For the upcoming year, would you like to add USED AEROSOL CONTAINERS (lubricants and automotive parts only) to the list of products for which you are registered as a UOMA NS processor? *

Yes No

Have your USED AEROSOL CONTAINERS (lubricants and automotive parts only) processing methods remained the same since last year? *

Yes No

On the current form, you mentioned your processing methods changed in the last year or that you wish to add USED AEROSOL CONTAINERS to your list of products as a UOMA NS processor.

In order to keep your file up to date, you will be required to provide information about the equipment and procedures your company uses to collect USED AEROSOL CONTAINERS.
How long has your company been processing USED AEROSOL CONTAINERS (lubricant and automotive parts only)? *
List the address of each facility where you process USED AEROSOL CONTAINERS (lubricant and automotive parts only) and specify the maximum storage capacity for each facility. *
Briefly describe installations and equipments utilized for the processing of USED AEROSOL CONTAINERS (lubricant and automotive parts only). *
Briefly explain how you keep track the USED AEROSOL CONTAINERS (lubricant and automotive parts only) batches received from each collectors. *
Briefly specify the sampling method used and the analysis performed on the processed USED AEROSOL CONTAINERS (lubricant and automotive parts) to ensure they meet all required criterias. *
Specify the average storage period before processing. *
How are the extracted oils (generated by the processing of USED AEROSOL CONTAINERS) treated/disposed of? *
What is the end product's use and to whom is it shipped? *

Signatory name *
Signatory title *
I, {signatoryName83}, {signatoryTitle}, declare I am duly authorized for this purpose and certify that the information provided on this form is accurate.
Signature *

Clear
Signature *

I confirm this signature.
Date *

Month Day Year
Should be Empty:

UOMA Nova Scotia - Processor registration renewal form