3. Qualified Engineer/Authorized Person

Name of Qualified Engineer/Authorized Person (Surname First)

[Subsidiary]

Correspondence Address

Telephone Number

Material†

Prepared

4. Premises where the specified process is to be conducted

Name of the Premises (if any)

Address

English

Correspondence Address

Telephone Number

Name of Air Control Zone in which the Premises are Located

Telephone Number

Business Registration No.

Certificate of Incorporation No.

No. of Employees in the Premises

Area of the Premises (m2)

Land Status

Contact Person in the Premises (Surname First)

English

Chinese

Title or Position

† Including the plans and specifications mentioned in paragraphs 5 to 9.

Nature of Tenure

F 8

CAP. 311] Air Pollution Control (Specified Processes) Regulations

[1987 Ed.

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