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FORM 4

AIR POLLUTION CONTROL (SPECIFIED PROCESSES) REGULATIONS 1987

APPLICATION FOR TRANSFER OF A LICENCE PURSUANT TO SECTION 18A OF

THE AIR POLLUTION CONTROL ORDINANCE

[reg. 47

To: The Authority

1.

We the undersigned, being the licence holder and the prospective transferee of the undermentioned licence, hereby apply jointly under section 18A of the Air Pollution Control Ordinance for the transfer of the licence for the conduct of the undermentioned specified process and we hereby declare that the particulars of the undermentioned specified process, including any chimney and relevant plant, nature and emission of any air pollutant, the fuel usage, raw materials and products are substantially unchanged and that the following particulars provided are correct.

We enclose the application fee of $100.

Dated this

day of

Signature of Applicants (i)

(ii)

Name

19

Licence Holder

Prospective Transferee

Name

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