Premises where the specified process is conducted

Name of the Premises (if any)

Chinese

Address

Correspondence Address

F 20

CAP. 311]

[Subsidiary]

Telephone Number

Telephone Number

Business Registration No.

Certificate of Incorporation No.

No. of Employees in the Premises

Area of the Premises (m2)

Land Status

English

Contact Person in the Premises

(Surname First)

Title or Position

English

Chinese

Nature of Tenure

Name of Air Control Zone in which the Premises are Located

Air Pollution Control (Specified Processes) Regulations

Expiry Date

Classification of Specified Process under Application

Installed/ Mode of Operation (Continuous/Batch)

Processing Capacity*

Silo Capacity (for Cement Works Only)

Total No. of Emission Points

Any person who provides information which he knows to be incorrect in a material respect or recklessly makes any statement which is incorrect in a material respect or knowingly omits any material particular commits an offence and is liable to a fine of $5,000.

* Delete if not applicable.

Nature of Work

Existing Licence No.

5. Notes

[1987 Ed.

Page 20
Page 21

表格2

空氣污染管制(指定工序)規例

根據空氣污染管制條例第16條遞的牌照續期申請書

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