Diane Caron
Pièces jointes:
TR: TO ALL SOGHU COLLECTORS - SOGHU ANNUAL REGISTRATION RENEWAL
CERTIFICATE
Collector Registration Renewal Form (Rev March11).pdf; Questionnaire Collectors.pdf
Importance:
Haute
Objet:
E-mail sent to ALL collectors November 1, 2011.
If this message does not concern you please forward it to the appropriate party(s)
*** This message was sent to all of the recipients confidentially in Bcc.
To All SOGHU Collectors
The expiry date for your current SOGHU Collector registration certificate is December 31, 2011. To continue enjoying the
privileges of your registration you must return your Collector Renewal Application Form along with your cheque and all
other required documentation as requested on the form, by mail to 1101 boul. Suite 214, Brassard, Chambly J3L 5R4
ST
before DECEMBER 1 , 2011 .
We invite you to read the modified and simplified version of the Collectors and Processors Manual and take note of the
updates to the procedures.
Attached you will find the Collector’s Registration Renewal Form and the questionnaire to complete, if necessary. These
documents are also available on SOGHU’s website at www.soghu.com. It is imperative that you use the latest version
of the Renewal Application form revised March 2011.
NOTE: You should always forward copies of your renewal permits and/or certificates or modifications to your permits and/or
certificates from the MDDEP.
We would like to remind you that all key emails distributed by SOGHU up until now are available for viewing on our
website at www.soghu.com. They are listed in alphabetical order by subject in the "Communiques" section. Simply click
on the category of your choice.
If you have any questions, do not hesitate to contact us.
On behalf of Gilles Goddard
(General Manager)
Diane Caron
General Manager Assistant- SOGHU
Tel.: 450-447-9996 ext 223 / Fax: 450-447-9988
E-mail: [email protected]
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COLLECTOR Registration Renewal Form
Once we receive this signed registration form, and any other required
documentation, your Collectors Agreement will be re-activated.
Registration renewal for the period of January 1st to December 31st _______________
(year)
Company Name :
Mailing Address :
City :
Province :
Postal Code :
Telephone :
E-mail :
Fax :
Contact :
SOGHU Collector Registration Number :
Indicate which products you are registered with SOGHU to collect :
Used oil
Used Containers
Used Filters
Used Aerosol Containers
Adress (es) of site(s) and expiration date(s) for your operating licenses(s) and/or certificate(s) from the
MDDEP (or the equivalent governmental authority if you are outside of the province of Quebec) related to you
registration with SOGHU.
Site address
Expiration date of permit
*** If you have more than one permit and /or certificate, attach them to this sheet
When was your last inspection by the MDDEP (or the equivalent governmental authority if you are outside of
the province of Quebec) of the activities for which you are registerd with SOGHU? (month/year)
______________________________________________________________________________
In the last year, has your company received ay infraction notices by the MDDEP (or the equivalent
governmental authority if you are outside of the province of Quebec) related to your activities for which you are
No
If yes, please attach a copy of the infraction notice to this sheet as well
registered with SOGHU? Yes
as the steps taken to correct the problem(s).
The answers for the Collector Registration Questionnaire are the same as the last time it was submitted to
SOGHU.
Yes
No
If you checked NO, you must attach the new version of the completed Collector Registration Questionnaire (available on
the website at www.soghu.com in the collectors section).
Please note that following documents are required for your registration renewal:
ƒ
Copy of all of the modifications to your permit(s) or certificate(s).
ƒ
Cheque for $227,85 ($200 plus GST and PST).
Certification
I,
_
_________
(Print Name and Title)
declare I am duly authorized for this purpose and certify that the information provided on this for is correct. I further
acknowledge that I have read, and agree to be bound by, the terms and conditions on the reverse (page 2).
Signature
Date
Revised March 2011
1/2
REVERSE OF ENROLMENT RENEWAL FORM FOR COLLECTORS AND/OR PROCESSORS
GENERAL TERMS AND CONDITIONS
1. The Applicant confirms that all information provided to SOGHU herein, and in all documents required
by the Applicant’s registration with SOGHU or as required by the applicable laws, are true and
accurate.
2. The Applicant accepts to indemnify and hold harmless SOGHU, its employees and its agents in
respect to all costs, expenses, claims and suits that may result from any misstatement or inaccurate
information supplied by the Applicant.
3. The Applicant accepts to be bound by the by-laws, programs, policies and procedures governing
SOGHU.
4. The Applicant accepts to provide SOGHU with all information, within reason, relating to this
application or any matter regarding SOGHU’s program and procedures and accepts that SOGHU has
a right to access this information during normal business hours after providing the Applicant with 24
hours’ notice.
5. The Applicant agrees to provide, at SOGHU’s request, all documents, receipts, records, or
information likely to support or pertain to a claim for return or processing incentives.
6. The Applicant hereby acknowledges and accepts that any funds, return and/or processing incentives
or payments disbursed in accordance with SOGHU’s program may be subject to an audit of all
information required by SOGHU, and that the information therein must be accurate and satisfy
SOGHU’s requirements.
7. If a registration is granted or a payment is made by SOGHU and the Applicant’s certificate turns out
to be false or the information supplied therein is false or inaccurate, it shall be understood that the
registration was granted without rights or in error and that the payment was made without rights or in
error. Such a registration shall be deemed null and void and any such payment shall be held in trust
by the Applicant for the exclusive use and benefit of SOGHU. The payments or funds shall be
reimbursed promptly to SOGHU by the Applicant upon discovery of the false information or the error
by either SOGHU or the Applicant.
8. SOGHU retains the right, at its sole discretion, to withhold any payment or deny registration of an
Applicant until such time SOGHU completes a relevant verification or obtains sufficient information
from the Applicant by a reasonable method requested and verifiable by SOGHU.
9. SOGHU reserves the rights and remedies conferred on it by law in addition to the conditions set out
herein.
10. The Applicant acknowledges SOGHU’s authority to adopt by-laws, policies and procedures, and
accepts to be bound by SOGHU’s by-laws, policies and procedures.
11. The Applicant acknowledges and accepts that SOGHU may revoke or suspend the Applicant’s
registration in the event the Applicant contravenes the applicable laws, regulations or by-laws, and
upon any false or fraudulent representation made in the application or in the claim form for payment
by SOGHU of the recovery and/or processing incentive. The Applicant acknowledges and accepts
that SOGHU may revoke or suspend the Applicant’s registration in the event that: (a) the Applicant
withdraws from business, or (b) the Applicant applies to surrender its Registration Certificate to
SOGHU, or (c) the Applicant is declared bankrupt or becomes insolvent or (d) in the case of
significant or repeated violations by the Applicant in relation to the terms herein or those of the
Agreement with SOGHU or its Collectors and Processors Manual.
12. The Applicant accepts to surrender its SOGHU Registration Certificate to SOGHU in the event that
the Applicant’s registration is revoked or suspended. The Applicant accepts not to participate in
SOGHU’s programs or carry on business under the banner of these programs unless it is registered
and its registration is not under suspension or revoked.
Revised March 2011
2/2
Registration Questionnaire for Collectors
July 2008 Version
General
Information
1. Which products, with respect to the Règlement sur la récupération et la valorisation des huiles
usagées, des contenants d’huile ou de fluide et des filtres usagés are you authorised to collect?
Used oils
Oil Filters
Plastic Containers
Aerosol Containers
2.
How long has your business been collecting these products? __________________________
3.
What is your corporate business name?
4.
How long has your business been operating under this corporate name?
(If less than 2 years, indicate your former corporate name)
5. What is your complete mailing address?
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
6. How many employees are working at your business?.
Are the employees registered with the workers’ compensation board of your province/state?
Yes
No
Not Applicable
7. Has your business received any quality certifications (example ISO)? Yes
No
If so, which one(s)? _____________________________________________________________
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8. Do you have a Quality Insurance program in place? Yes
No
If so, briefly describe it.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
9. Indicate the date (month/year) of your last inspection by the Ministry of the Environment:
___________________________________
10. Has your business ever received infraction notices or written warnings from the Ministry of the
No
If yes, please attach a copy of each notice or warning.
Environment? Yes
11. Who is responsible for your environmental compliance?
Name
Title
Department
Telephone
Fax
Email
Attestation
I,
, confirm that I am authorized to certify that all of the information
(name and title)
regarding collection of used oil, filters, plastic containers and aerosol that is declared on the present
form (page 1 to 7) is true.
Signature
Date
2
Collection
Activities
1. Indicate the civic (or physical) address(s) of your collection facility(s).
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
2. Briefly describe the facility and equipment (ex. reservoirs, bulk storage areas, trucks, etc.)
associated with your collection of used oil, filters, used oil plastic containers, or lubricant aerosol.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
3. Briefly describe your current spill prevention and containment measures (ex. berm(s) or other
containment unit(s), regular inspections of storage units, proximity of absorbents, etc.)
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
4. Does your business have a permit to transport hazardous materials to a final disposal site? (ex. Final
No
destruction facility) Yes
5. Do you have written contracts with the final destruction facility? Yes
No
If so, are the quantities shipped per category of products identified? (ex. A01 in Quebec)
No
Yes
6. How long are the contracts kept at the shipping location? __________
7. Do you transfer all SOGHU applicable products to processors registered with the SOGHU?
No
Yes
3
Collection:
Used
Oil
1. Do you perform quality control analysis of the used oils received? Yes
No
If so, briefly explain your quality sampling program.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
2. Describe how your collected oily waste water is managed. Is it treated on your own site or shipped to
another location?
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
3. Are the analyses from an accredited laboratory? Yes
No
4. Do your clients (processors) request certificates of analysis? Yes
No
If so, how often? __________________
For Québec collectors only
Storage: less than 40 000 kg of used oil
1. Briefly explain how your business respects the storage capacity limit.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
2. Do you produce reports or notices for the Ministry of the Environment on your collection and storage
activities? Yes
No
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Permit and certificate of approval
1. Do you have operating permit/license/certificate(s) issued by the Ministry of the Environment?
Yes
No
Reference number(s)
Site address
Expir. date
__________________
____________________________________________
__________
__________________
____________________________________________
__________
__________________
____________________________________________
__________
__________________
____________________________________________
__________
2. Indicate your civic and environmental liability insurance coverage:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
3. Do you have a quality sampling program for your oil, both incoming and outgoing? Yes
No
If so, briefly explain your Quality Assurance program.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
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Collection:
Used
Oil
Filters
1. Indicate the maximum quantity stored in your facility(s). ________________ kg
2. Briefly describe how the batches of collected filters from each client are tracked.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
3. Specify the type of containers utilized to collect the used oil filters.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Collection:
Plastic
Containers
1. Indicate the maximum quantity stored in your facility(s). ________________ kg
2. Briefly describe how the batches of collected containers from each client are tracked.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
3. Specify the type of containers utilized to collect the plastic containers.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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Collection:
Aerosol
Containers
1. Indicate the maximum quantity stored in your facility(s). ________________ kg
2. Briefly describe how the batches of collected containers from each client are tracked.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
3. Specify the type of containers utilized to collect the aerosol containers.
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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