Fuels Information Regulations, No. 1

Reporting Period

Company Name

Facility Name Telephone

Facility Address

Item	Name of Fuel	Quantity Refined, Produced or Imported (Cubic Metres)	API Gravity	Sulphur Content (Weight %)
				Highest	Lowest	Weighted Average
1	Aviation Turbo Fuel
2	Motor Gasoline
	(a) lead free
	(b) regular
	(c) premium
3	Kerosene and Stove Oil
4	Diesel Oil (by type)
5	No. 2 Light Fuel Oil
6	Heavy Fuel Oil
	(a) #4
	(b) #5
	(c) #6
7	Synthetic Crude (sold as fuel)
8	A fuel other than the fuels named in items 1 to 5
				(Signature of Authorized Company Official)
				(Title)
				(Date Signed)

(To Be Submitted once for each Fuel Additive.)

Fuel Manufacturer/Importer Telephone

Address

Additive Manufacturer Telephone

Address

1	Type of Fuel
	Brand Name of Additive
	Purpose of Additive
	Quantity Used Annually
2	Fuel Additive Concentration (mg/litre)
	Highest		Lowest	Weighted Average
3	Composition of Fuel Additive
	Complete either paragraph (a) or (b) or attach a copy of a letter from the fuel additive manufacturer attesting to the fact that the information required by paragraph (a) or (b) has been forwarded to Environment Canada
	(a) Chemical name of each Constituent			Approx. % by weight
	(b) Element			Approx. % by weight
	Carbon	}
	Hydrogen		(total)
	Oxygen
	(list other elements that individually account for more than 0.1% of the additive weight)
4	[Revoked, SOR/80-138, s. 1]