Canada Gazette, Part I, Volume 146, Number 15: SUPPLEMENT

April 14, 2012

DEPARTMENT OF THE ENVIRONMENT

CANADIAN ENVIRONMENTAL PROTECTION ACT, 1999

Notice requiring the preparation and implementation of pollution prevention plans with respect to bisphenol A in industrial effluents

Pursuant to section 91 of the Canadian Environmental Protection Act, 1999 (hereinafter referred to as the “Act”), the Minister of the Environment published in the Canada Gazette, Part Ⅰ, on October 16, 2010, a Proposed notice requiring the preparation and implementation of pollution prevention plans with respect to bisphenol A in industrial effluents.

Whereas persons were given the opportunity to file comments with respect to the proposed Notice for a comment period of 60 days; and

Whereas the Minister of the Environment has considered all comments received.

Notice is hereby given that, under subsection 56(1) of the Act, the Minister of the Environment requires any person or class of persons described in section 2 of the Notice to prepare and implement a pollution prevention plan in respect of the substances listed in this Notice which are specified on Schedule 1 of the Act.

More information on pollution prevention planning can be found in the Pollution Prevention Planning Provisions of Part 4 of the Canadian Environmental Protection Act, 1999: Guidelines for Implementation. These guidelines and other information related to pollution prevention and pollution prevention planning can be found in the “Pollution Prevention Planning” section of Environment Canada’s Web site at www.ec.gc.ca/planp2-p2plan.

PETER KENT
Minister of the Environment

NOTICE REQUIRING THE PREPARATION AND IMPLEMENTATION OF POLLUTION PREVENTION PLANS WITH RESPECT TO BISPHENOL A IN INDUSTRIAL EFFLUENTS

Notice is hereby given that, pursuant to the provisions of Part 4 of the Act, the Minister of the Environment requires any person or class of persons described in section 2 of the Notice to prepare and implement a pollution prevention plan in respect of bisphenol A in industrial effluents.

1. Definitions

The definitions in this section apply to the Notice.

“Act” means the Canadian Environmental Protection Act, 1999 (CEPA 1999).

“Bisphenol A or BPA” means Phenol, 4,4′ -(1-Methylethylidene)bis-, Chemical Abstracts Service (CAS) (see footnote 1) Number 80-05-7.

“Calendar year” refers to a complete year beginning January 1 and ending December 31.

“Final discharge point” is an identifiable discharge point beyond which the industrial facility owner or operator no longer exercises control over quality of the effluent.

“Effluent” means process wastewater from an industrial facility released into the off-site wastewater system or to surface water.

“Minister” means the Minister of the Environment.

“Normal operating conditions” means representative of regular or typical operating conditions related to the manufacture or use of bisphenol A or mixture containing bisphenol A which results in an effluent containing bisphenol A at the final discharge point.

“Notice” means the Notice requiring the preparation and implementation of pollution prevention plans with respect to bisphenol A in industrial effluents.

“Plan” means a pollution prevention plan.

2. Person or class of persons required to prepare and implement a plan

(1) The Notice applies to any person or class of persons who owns or operates an industrial facility which, during the calendar year prior to the date of publication of the Notice, or any calendar year thereafter meets any of the following criteria:

(a) Manufactures bisphenol A in a quantity greater than 100 kg and, as a result of manufacture, the effluent at the final discharge point of the facility contains bisphenol A;
(b) Uses bisphenol A in a quantity greater than 100 kg and, as a result of use, the effluent at the final discharge point of the facility contains bisphenol A; or
(c) Uses a mixture containing bisphenol A in a quantity greater than 100 kg and, as a result of use, the effluent at the final discharge point of the facility contains bisphenol A.

(2) The Notice applies to any person or class of persons who is the successor or assign of the persons identified in subsection 2(1).

(3) Despite subsection 2(1), the Notice does not apply to any person or class of persons who releases an effluent containing bisphenol A resulting exclusively from pulp and paper recycling, scientific research or laboratory testing.

3. Activities in relation to which the plan is to be prepared

(1) The Minister requires any persons or class of persons identified in section 2 of the Notice to prepare and implement a plan in relation to the release of bisphenol A in effluents through

(a) the manufacture of bisphenol A; or
(b) the use of bisphenol A or a mixture containing bisphenol A during processing or manufacturing activities.

(2) Despite subsection 3(1), a plan does not have to be prepared and implemented in relation to effluent containing bisphenol A resulting exclusively from pulp and paper recycling, scientific research or laboratory testing.

4. Factors to consider in preparing the plan

The Minister requires any person or class of persons identified in section 2 of the Notice to consider the following factors when preparing their plan:

(1) Bisphenol A was declared toxic under section 64 of the Act and was added to the List of Toxic Substances in Schedule 1 of the Act. The final Screening Assessment Report concluded that bisphenol A is entering or may be entering the environment in a quantity or concentration or under conditions that have or may have an immediate or long-term harmful effect on the environment or its biological diversity or constitute or may constitute a danger in Canada to human life or health. Bisphenol A is acutely toxic to aquatic organisms and is a known endocrine disruptor.

(2) The risk management objective of this Notice is continual improvement towards reaching the lowest level of bisphenol A in the environment. This is to be accomplished by achieving and maintaining the lowest total bisphenol A concentration that is economically and technically feasible and is less than 1.75 µg/L in the effluent released at the final discharge point of the facility through methods other than dilution.

(3) In preparing a plan, any person or class of persons subject to the Notice is to give first consideration to pollution prevention activities prior to considering pollution control activities. “Pollution prevention,” as defined in section 3 of the Act, means “the use of processes, practices, materials, products, substances or energy that avoid or minimize the creation of pollutants and waste and reduce the overall risk to the environment or human health.”

(4) The use of alternatives to bisphenol A should be considered to reduce or minimize environmental and human health risks. The chosen alternatives should not have, through their degradation, the potential to produce bisphenol A.

(5) Sampling and analysis should be completed as described below:

(a) Effluent samples should be collected in such a way that they are representative of the effluent containing bisphenol A released at a final discharge point under normal operating conditions;
(b) Effluent samples should be collected and analyzed a minimum of four times per year;
(c) Sampling and analysis of the samples should be performed in accordance with what are generally accepted standards of good scientific practice at the time of the analysis; and
(d) Analysis of the samples should be performed by a laboratory that is accredited by a Canadian accrediting body under the International Organization for Standardization standard ISO/IEC 17025 titled General Requirements for the Competence of Testing and Calibration Laboratories, as amended from time to time.

(6) The following documents should be kept with the plan:

(a) a description and the location of all final discharge points; and
(b) a description of the factors (e.g. type of technology, human factor, accidental releases, type of manufacturing, daily use) that could increase the quantity or concentration of bisphenol A in the facility’s effluent.

(7) Monitoring of the plan should include one year of sampling and analysis at the final discharge point(s) after the risk management objective set in subsection 4(2) of the Notice is met. Sampling and analysis should be conducted as specified in subsection 4(5) of the Notice.

(8) The Minister will evaluate the effectiveness of the Notice with respect to the risk management objective set out in subsection 4(2) of the Notice in order to determine whether other measures, including regulations, are needed to further prevent or reduce negative impacts of bisphenol A on the environment or human health.

5. Period within which the plan is to be prepared

(1) For a person or class of persons subject to the Notice on the date of publication in the Canada Gazette, Part Ⅰ, the Minister requires that the plan be prepared and that its implementation be initiated no later than December 31, 2012.

(2) For a person or class of persons becoming subject to the Notice after the date of publication in the Canada Gazette, Part Ⅰ, the Minister requires that the plan be prepared and that its implementation be initiated no later than six months from becoming subject to the Notice.

6. Period within which the plan is to be implemented

(1) For a person or class of persons subject to the Notice on the date of publication in the Canada Gazette, Part Ⅰ, the Minister requires that the plan be implemented no later than December 31, 2016.

(2) For a person or class of persons becoming subject to the Notice after the date of publication in the Canada Gazette, Part Ⅰ, the Minister requires that the plan be implemented no later than 24 months from becoming subject to the Notice.

7. Content of the plan

A person or class of persons identified in section 2 of the Notice is to determine the appropriate content of that person’s plan; however, the plan must meet all the requirements of the Notice. The plan must also contain the information required to file the Declaration of Preparation referred to in section 9 of the Notice, the information required to file the Declaration of Implementation referred to in section 10 of the Notice, and the information to file the Interim Progress Reports referred to in section 12 of the Notice.

8. Requirement to keep the plan and related records

(1) Under section 59 of the Act, any person or class of persons identified in section 2 of the Notice must keep a copy of the plan at the place in Canada for which the plan is prepared. Where a single plan is prepared for more than one facility, a copy of that plan must be kept at each location.

(2) Any person or class of persons identified in section 2 of the Notice must keep the plan and any records pertaining to the plan for a minimum of five years following the date set out in section 6 of the Notice.

9. Declaration of Preparation

Under subsection 58(1) of the Act, any person or class of persons identified in section 2 of the Notice must file, within 30 days after the end of the period for the preparation of the plan specified in section 5 or extended under section 14 of the Notice, a written “Declaration That a Pollution Prevention Plan Has Been Prepared and Is Being Implemented — Notice Requiring the Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 58(1) of CEPA 1999).” This Declaration must be submitted to the Minister, using the form that the Minister provides and that contains the information set out in Schedule 1 of the Notice. Where a person or class of persons has prepared a single plan for several facilities, a separate Declaration of Preparation must be filed for each facility.

10. Declaration of Implementation

Under subsection 58(2) of the Act, any person or class of persons identified in section 2 of the Notice must file within 30 days after the end of the period for the completion of the implementation of the plan specified in section 6 or extended under section 14 of the Notice, a written “Declaration That a Pollution Prevention Plan Has Been Implemented — Notice Requiring Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 58(2) of CEPA 1999).” This Declaration must be submitted to the Minister, using the form that the Minister provides and that contains the information set out in Schedule 5 of the Notice. Where a person or class of persons has prepared a single plan for several facilities, a separate Declaration of Implementation must be filed for each facility.

11. Filing of amended declarations

Under subsection 58(3) of the Act, where a person or class of persons identified in section 2 of the Notice has filed a written Declaration of Preparation or a written Declaration of Implementation, referred to in sections 9 and 10 of the Notice, and the Declaration contains information that, at any time after the filing, has become false or misleading, the person or class of persons must file an amended Declaration to the Minister within 30 days after the time that the information became false or misleading, using the appropriate form referred to in section 9 or 10 of the Notice.

12. Interim progress reports

A person or class of persons identified in section 2 of the Notice must file to the Minister, on or before each of the dates below, a written “Interim Progress Report — Pollution Prevention Planning Notice with Respect to Bisphenol A (BPA) in Industrial Effluents,” using the form that the Minister provides and that contains the information set out in Schedule 4 of the Notice. If a Declaration of Implementation is submitted before an Interim Progress Report is due, the requirement to submit the Interim Progress Report is nullified.

(1) For a person or class of persons subject to the Notice on the date of publication in the Canada Gazette, Part Ⅰ,

— Interim Progress Report No. 1 — January 31, 2014;
— Interim Progress Report No. 2 — January 31, 2015; and
— Interim Progress Report No. 3 — January 31, 2016.

(2) For a person or class of persons becoming subject to the Notice after the date of publication in the Canada Gazette, Part Ⅰ,

— No interim progress reports are required.

(3) For a person or class of persons who has been granted a time extension in accordance with section 14 of the Notice for longer than one year, an Interim Progress Report is required on an annual basis on or before January 31 each year for the length of the time extension.

13. Use of a plan prepared or implemented for another purpose

Under subsection 57(1) of the Act, a person or class of persons may use a plan prepared or implemented for another purpose to satisfy the requirements of sections 2 to 8 of the Notice. Under subsection 57(2) of the Act, where a person or class of persons uses a plan that does not meet all the requirements of the Notice, the person or class of persons must either amend the plan so that it meets all of those requirements or prepare an additional plan that meets the remainder of those requirements. A person or class of persons using existing plans must still file the Declaration of Preparation referred to in section 9 of the Notice, the Declaration of Implementation referred to in section 10 of the Notice, any amended declarations referred to in section 11 of the Notice where applicable, and any Interim Progress Reports required under section 12 of the Notice.

14. Extension of time

Under subsection 56(3) of the Act, where the Minister is of the opinion that further time beyond the period referred to in section 5 of the Notice is needed to prepare the plan, or that further time beyond the period referred to in section 6 of the Notice is needed to implement the plan, the Minister may extend the period for a person or class of persons who submits a written “Request for Time Extension Notice Requiring the Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 56(3) of the Act).” The written request must use the form that the Minister provides, contain the information set out in Schedule 3 of the Notice, and be made before the expiry of the date referred to in the applicable section 5 or section 6 of the Notice or before the expiry of any extended period.

15. Application for waiver of factors to consider

Under subsection 56(5) of the Act, the Minister may waive the requirement for a person or class of persons to consider a factor in preparing the plan specified in section 4 of the Notice where the Minister is of the opinion that it is neither reasonable nor practicable to consider a factor on the basis of reasons provided by that person or class of persons when submitting a written “Request for Waiver of the Requirement to Consider a Factor or Factors — Notice Requiring the Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 56(5) of the Act).” The written request must use the form that the Minister provides and contain the information set out in Schedule 2 of the Notice. Such a request must be made before the expiry of the period within which the plan is to be prepared as referred to in section 5 of the Notice or before the expiry of any extended period.

16. More information on pollution prevention planning

Additional information and guidance on preparing plans may be obtained from

The Pollution Prevention section of Environment Canada’s Web site (www.ec.gc.ca/p2);
The Pollution Prevention Planning section of Environment Canada’s Web site (www.ec.gc.ca/planp2-p2plan);
The CEPA Environmental Registry (www.ec.gc.ca/CEPARegistry/plans/P2/); and
The Canadian Pollution Prevention Information Clearinghouse (www.ec.gc.ca/ccipp-cppic/).

17. Notice Reference Code: P2BPA

For administrative purposes, all communication with Environment Canada concerning the Notice should refer to the following Notice Reference Code: P2BPA.

18. Public disclosure of information and forms

The Minister of the Environment intends to publish the information submitted in response to the Notice in Schedules 1, 4 and 5 in the Pollution Prevention Planning section of Environment Canada’s Web site.

Under section 313 of the Act all persons submitting information to the Minister are entitled to submit a request that specific information be treated as confidential. Persons submitting such a request should include the reasons for that request.

The Notice includes the following documents:

Schedule 1: Declaration That a Pollution Prevention Plan Has Been Prepared and Is Being Implemented — Notice Requiring the Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 58(1) of CEPA 1999);

Schedule 2: Request for Waiver of the Requirement to Consider a Factor or Factors — Notice Requiring the Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 56(5) of CEPA 1999);

Schedule 3: Request for Time Extension — Notice Requiring the Preparation or Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 56(3) of CEPA 1999);

Schedule 4: Interim Progress Report — Pollution Prevention Planning Notice with Respect to Bisphenol A (BPA) in Industrial Effluents; and

Schedule 5: Declaration That a Pollution Prevention Plan Has Been Implemented — Notice Requiring the Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A (BPA) in Industrial Effluents (Subsection 58(2) of CEPA 1999).

Forms referred to in the Notice (Schedules 1 to 5) are published as part of the Notice and may be filled out electronically using the Pollution Prevention Planning Online Reporting Tool found on Environment Canada’s Web site at www.ec.gc.ca/planp2-p2plan.

For guidance on how to complete the Schedules (1 to 5), please refer to Information Sheet: Using the Pollution Prevention (P2) Planning Online Reporting Tool to Submit a Schedule which can be found on Environment Canada’s Web site at www.ec.gc. ca/planp2-p2plan/default.asp?lang=En&n=78FC5C6D-1.

19. Environment Canada contact information

For questions or comments about the Notice, please contact

Director
Products Division
Environment Canada
200 Sacré-Cœur Boulevard, 3rd Floor
Gatineau, Quebec
K1A 0H3
Telephone: 1-888-391-3426 or 819-953-9322 (Local)
Fax: 1-888-391-3695 or 819-953-3132 (Local)
Email: Products.Produits@ec.gc.ca

For more information about pollution prevention planning, please contact

Regulatory Innovation and Management Systems
Environment Canada
351 Saint-Joseph Boulevard, 20th Floor
Gatineau, Quebec
K1A 0H3
Telephone: 819-994-0186
Fax: 819-953-7970
Email: LCPEplansP2-CEPAP2plans@ec.gc.ca

EXPLANATORY NOTE

(This note is not part of the Notice.)

Compliance with the Canadian Environmental Protection Act, 1999 (hereinafter referred to as the “Act”) is mandatory under subsection 272(1) of the Act. Subsection 272(2) of the Act defines the penalties for persons who commit offences under the Act. Subsections 273(1) and 273(2) further outline the terms and penalties of those persons providing false or misleading information. Penalties under both subsections 272(2) and 273(2) include fines of not more than $1 million, imprisonment for a term of not more than three years, or both.

For additional information on the Act, the Compliance and Enforcement Policy for the Canadian Environmental Protection Act, 1999 and on applicable penalties, please contact the Enforcement Branch by email at environmental.enforcement@ec.gc.ca. The Policy is available at www.ec.gc.ca/lcpe-cepa/default.asp?lang=En&n=954B7684-1.

NOTE: Do not fill out this form as it appears in the Canada Gazette. Please contact Environment Canada for information about electronic reporting, as provided in sections 18 and 19 of the Notice.

Notice Reference Code: P2BPA

For guidance on how to complete this Declaration please refer to the “Instructions for Completing Schedules required by the Pollution Prevention Planning Notice with respect to Bisphenol A in Industrial Effluents.” These instructions can be found in the Pollution Prevention (P2) Planning section of Environment Canada’s Web site at www.ec.gc.ca/planp2-p2plan/default.asp?lang=En&n=6A389B0B-1.

Is this an amendment to a Declaration previously submitted? Yes No

If yes, please specify the amended parts and reasons below. In addition, please complete Parts 1.0 and 9.0 and any other Parts of this Declaration for which previously reported information has become false or misleading. Previously reported information that is unchanged need not be resubmitted.

If no, please proceed to Part 1.0 of this Declaration.

Amendment Part(s)

Please specify the parts of the Declaration that you would like to amend.

Amendment Reason(s)

Please specify the reason for each of the amendments that you would like to make.

1.0 Information on the Person or Class of Persons Subject to the Notice

Name of the Person or Class of Persons Subject to the Notice: __________________

Facility Name: __________________________________________________________

Street Address of Facility: ________________________________________________

City: _________________________________________________________________

Province/Territory: ______________________________________________________

Postal Code: __________________________________________________________

Telephone Number: ____________________________________________________
(with area code)

Email: _______________________________________________________________

Mailing Address of Facility
(if different from Street Address): __________________________________________

City: _________________________________________________________________

Province/Territory: ______________________________________________________

Postal Code: __________________________________________________________

National Pollutant Release Inventory ID (if no ID, leave blank): ___________________

Six-digit North American Industry Classification System (NAICS) Code
(if no Code, leave blank): _________________________________________________

Please enter the name of a General Contact for the facility. This contact information will be used by Environment Canada to correspond with your facility on items related to your submission, including your facility registration and password required for login and reporting online.

General Contact Information

First Name: ________________________________________________

Last Name: ________________________________________________

Email: _____________________________________________________

Position/Job Title: ___________________________________________

Telephone Number: __________________________________________
(with area code)

Fax Number (if available): ____________________________________
(with area code)

If the Technical Contact is different from the General Contact, please complete the Technical Contact information below.

Facility Technical Contact

First Name: ________________________________________________

Last Name: ________________________________________________

Email: _____________________________________________________

Telephone Number: __________________________________________
(with area code)

Fax Number (if available): ____________________________________
(with area code)

2.0 Use of Plans Prepared or Implemented for Another Purpose

Is the Pollution Prevention Plan used to fulfill the obligations of the Notice:

a Pollution Prevention Plan that was previously prepared on a voluntary basis?
Yes No
a Pollution Prevention Plan that was previously prepared for another government or under another act of Parliament? Yes No

If yes, identify the other government requirement(s) or Acts of Parliament.

Parts 3.0 through 7.0 must be completed separately for each activity selected in Part 3.0 below.

3.0 Substance and Activity

Substance and Activity for which information is required (choose all those that apply):

Manufacture of BPA (If selected, please complete Part 4.1.1.)

Use of BPA or any mixture that contains BPA during processing and manufacturing (If selected, please complete Part 4.1.2.)

4.0 Baseline Information Prior to Implementation of the Pollution Prevention Plan

Notes:

a) Wherever possible, the data collected in Parts 4.1, 4.2, 4.3 and 4.4 of this Declaration are consistent with the reporting requirements of the National Pollutant Release Inventory (NPRI).
b) In Part 4, where indicated, use the following Basis of Estimate Codes to describe how each quantity reported in this Part of the Declaration was determined:
M1 Continuous Emission Monitoring System
M2 Predictive Emission Monitoring
M3 Source Testing
C Mass Balance
E1 Site-specific Emission Factors
E2 Published Emission Factors
O Engineering Estimates
X Other (please specify)
c) This Declaration requires reporting of data from the 2012 Preparation Year (from January 1 to December 31).

If you are reporting data for a year other than the above-specified year, check all those that apply.

Person or class of persons subject to the Notice has been granted a time extension to prepare a plan, which results in a Preparation Year other than 2012

Person or class of persons became subject to the Notice after the date of publication, which results in a Preparation Year other than 2012

If either of the above is applicable, indicate the new Preparation Year for which you are reporting: ___________. All references to the Preparation Year 2012 throughout this Declaration will be replaced by this new Preparation Year.

4.1 Nature of Activity

For the activity identified in Part 3.0 of this Declaration, indicate the nature of such activity at the facility for the Preparation Year. More than one nature of activity may be identified in each Part. Select all that apply.

Please complete table 4.1.1 if the activity selected in Part 3 is “Manufacture of BPA.”

Please complete table 4.1.2 if the activity selected in Part 3 is “Use of BPA or any mixture that contains BPA during processing and manufacturing.” It should be noted that more than one Nature of Activity may be applicable. Select at least one that applies.

In addition, report the total quantity of BPA manufactured or used during the Preparation Year, in kilograms (kg), for these activities, and the Basis of Estimate Code (see Part 4.0, Note b) in the appropriate field below.

4.1.1 Manufacture of BPA
Nature of Activity	Total Quantity Manufactured (kg)	Basis of Estimate Code
For on-site use
For sale/distribution
As a by-product
As an impurity
Other
Total

If you checked “Other,” please provide a description: ________________________

4.1.2 Use of BPA or any mixture that contains BPA to process or manufacture
Nature of Activity	Total Quantity Used (kg)	Basis of Estimate Code
Adhesives or Sealants
Paints or Coatings
Polyvinyl Chloride
Brake Fluids
Electrical Wire or Cable Coatings
Thermal Paper
Tires
Epoxy or Alkyd Resins
Investment Casting Waxes
Can Coatings
Reactant or Intermediate
Other
Total

If you checked “Reactant or Intermediate,” please provide the function or purpose of the substance: ____________________________

If you checked “Other,” please provide a description: _________________________

4.2 Total quantity of BPA manufactured or used in the Preparation Year
Type of Activity	Total Quantity in Preparation Year (kg)
Manufacture of BPA
Use of BPA or any mixture that contains BPA during processing and manufacturing
Total

4.3 On-Site Releases — Effluent Releases at Final Discharge Points

4.3.1 Releases to air — No data is required for Part 4.3.1 of this Declaration

4.3.2 Underground releases — No data is required for Part 4.3.2 of this Declaration

4.3.3 Releases to water

For the activity identified in Part 3.0 of this Declaration, did this facility release effluents containing the substance at any final discharge point in the Preparation Year? Yes No

If no, proceed to Part 4.4 of this Declaration.

If yes, report below the total quantity of all releases of the substance to water in kg, for that year, and the Basis of Estimate Code (see Part 4.0, Note b) in the appropriate field below.

Type of Releases	Total Quantity Released During the Preparation Year (kg)	Basis of Estimate Code
Surface Water
Wastewater System
Total

4.3.4 Releases to land — No data is required for Part 4.3.4 of this Declaration

4.4 Off-Site Transfers

4.4.1 Off-Site Transfers for Distribution — No data is required for Part 4.4.1 of this Declaration

4.4.2 Off-Site Transfers for Disposal

For the activity identified in Part 3.0 of this Declaration, did the facility transfer the substance off-site for disposal in the Preparation Year? Yes No

If no, proceed to Part 4.5 of this Declaration.

If yes, report the total quantity of all off-site transfers of the substance for disposal in kg, for that year, and the Basis of Estimate Code (see Part 4.0, Note b) in the appropriate field below. Report only the net mass of the substance that was sent off-site, not the total mass of the mixture containing the substance. Report transfers to the first off-site location only, not any subsequent transfers by the waste disposal company.

Type of Transfers for Disposal	Total Quantity Transferred During the Preparation Year (kg)	Basis of Estimate Code	Facility Name and Address
Landfill
Hazardous Waste Facility
Returned to Distributor
Total

4.4.3 Off-Site Transfers for Recycling — No data is required for Part 4.4.3 of this Declaration

4.5 Additional Baseline Information

4.5.1 Sampling and Analysis

For the activity identified in Part 3.0 of this Declaration, indicate the temperature and pH of the effluent at the time of sampling, the BPA effluent concentration in µg/L resulting from laboratory analysis, the dates of sampling and analysis activities, as well as the laboratory name, address and accreditations for analysis of BPA at all final discharge points as described in subsection 4(5) of the Notice for the Preparation Year. In addition, provide the average temperature, pH and concentration in the appropriate fields below by totalling each column and dividing by the number of samples taken.

In the event that there is more than one final discharge point, a minimum of four samples should be taken at each location.

Final discharge point — A
Sample	Temperature (°C)	pH	Concentration of BPA at the Final Discharge Point (µg/L)	Date of Sampling	Date of Laboratory Analysis	Laboratory Name, City and Phone Number	Laboratory Accreditation Number
No. 1
No. 2
No. 3
No. 4
Average

Final discharge point — B
Sample	Temperature (°C)	pH	Concentration of BPA at the Final Discharge Point (µg/L)	Date of Sampling	Date of Laboratory Analysis	Laboratory Name, City and Phone Number	Laboratory Accreditation Number
No. 1
No. 2
No. 3
No. 4
Average

4.5.2 Wastewater System Name and Location

For the activity identified in Part 3.0 of this Declaration, indicate the name, location and, if known, the level of treatment (e.g. primary, secondary, tertiary) of the wastewater system where the effluent was released by the facility, as reported in Part 4.3.3 of this Declaration.

Name of Wastewater System	Location	Level of Treatment

5.0 Anticipated Actions and Results

5.1 Anticipated Action(s)

Parts 5.1.1 through 5.1.6 must be completed separately for each and all anticipated action in the P2 plan, i.e. Part 5.1 will be completed as many times as there are anticipated actions to report.

Describe for the activity identified in Part 3.0 of this Schedule the status of the anticipated action to be taken in implementing the Pollution Prevention Plan.

What is the current status of this Action?

Planned/To be initiated

In progress

Completed

In Part 5.1.1, describe for the activity identified in Part 3.0 of this Declaration the anticipated actionto be taken in implementing the Pollution Prevention Plan. If anticipated action includes the use of alternative substances, please include the chemical name, common name or CAS Registry Number of the substance.

5.1.1 Anticipated Action: __________________________________________________

Provide a detailed description of the action in the box below:

In Parts 5.1.2 and 5.1.3, identify whether the anticipated action mentioned above represents a pollution prevention method OR an environmental protection method, by selecting one of the methods below.

5.1.2 Types of Pollution Prevention Methods:

For a detailed description of pollution prevention methods, please refer to the Pollution Prevention Planning Handbook (www.ec.gc.ca/ planp2-p2plan/default.asp?lang=En&n=56875F44-1).

Material or feedstock substitution (if checked, include the name of alternative substance in Part 5.1.1)

Product design or reformulation (if checked, include the name of alternative substance in Part 5.1.1)

Equipment or process modifications

Spill and leak prevention

On-site reuse, recycling or recovery

Inventory management or purchasing techniques

Good operating practices or training

Other: _________________________________

5.1.3 Types of Environmental Protection Methods:

Energy recovery

Off-site recycling

Incineration with energy recovery

Waste treatment

On-site wastewater treatment

Pollution control

Disposal

Other: _________________________________

In Part 5.1.4, report, where possible, the corresponding change to annual quantity or concentration released of the substance anticipated to be achieved from implementation of that action in kg or µg/L. Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity or concentration. Note that predicting a quantitative change for some anticipated actions, such as employee training, may not be possible.

5.1.4 Anticipated Changes: ____________________________________________

In Part 5.1.5, relate these changes to one or more specific elements of the baseline information described in Part 4 of this Declaration.

Describe which elements of the Baseline Element (see below) are affected by the changes reported in Part 5.1.4. Note: Actions may affect more than one Baseline Element.

A = total quantity manufactured or used on-site

B = total quantity released to water (surface water or wastewater system)

C = total quantity transferred for disposal off-site (landfill, hazardous waste facility, or return to distributor)

D = effluent concentration, temperature or pH

E = other (If other is selected, please provide a short description.)

5.1.5 Baseline Elements Affected: _______________________________________

In Part 5.1.6, identify the planned completion date for the above-mentioned anticipated action.

5.1.6 Planned Completion Date (YYYY-MM-DD): _____________________________

This ends Parts 5.1.1 through 5.1.6 that must be completed separately for each and all anticipated action in the P2 plan.

5.2 Total Anticipated Results — No data is required for Part 5.2 of this Declaration

5.3 Total Anticipated Release

For the activity identified in Part 3.0 of this Declaration, indicate the anticipated change in release to surface water or wastewater systems relative to the Preparation Year. Report the total anticipated change in quantity of BPA released in kg and the average anticipated change in concentration of released BPA in µg/L in the appropriate columns below.

Important: Indicate a decrease with a negative sign (“–”) and an increase with a positive sign (“+”) in front of the reported quantity or concentration.

Type of Releases	Total Quantity Anticipated Change Relative to the Preparation Year (kg)	Average Concentration Anticipated Change Relative to the Preparation Year (µg/L)
Surface Water
Wastewater System

6.0 Monitoring and Reporting

Describe the anticipated monitoring and reporting that will be used to track progress in implementing the Pollution Prevention Plan.

7.0 Risk Management Objective

Describe how the elements of the Pollution Prevention Plan will meet the risk management objective for BPA identified in subsection 4(2) of the Notice:

(2) The risk management objective of this Notice is the continual improvement towards reaching the lowest level of bisphenol A in the environment. This is to be accomplished by achieving and maintaining the lowest total bisphenol A concentration that is economically and technically feasible and is less than 1.75 µg/L in the effluent released at a final discharge point of a facility through methods other than dilution.

If you anticipate that this plan will not meet the risk management objective, explain why.

This ends Parts 3.0 through 7.0 to be completed separately for each Activity specified in Part 3.0 above.

8.0 Factors to Consider

Describe what was done by the person or class of persons subject to the Notice to take into account the “Factors to Consider in Preparing the Plan” set out in subsections 4(3) to 4(7) of the Notice, except those factors for which a waiver has been granted by the Minister of the Environment.

4(3) Use of Pollution Prevention

4(4) Use of Alternatives (e.g. availability, cost or technology)

4(5) Sampling and Analysis activities (e.g. description of the location, frequency, method and parameters of sampling and analysis activities)

4(6) Keep additional documents with the plan (e.g. location of final discharge point, factors that contribute in increasing the concentration of BPA in effluents)

4(7) Monitoring after meeting the Risk Management Objective (RMO) [e.g. one year sampling or other monitoring activities after meeting RMO]

9.0 Certification

I hereby certify that a Pollution Prevention Plan in Respect of Bisphenol A in Industrial Effluents has been prepared and is being implemented and that the information provided in this Declaration is true, accurate and complete.

_____________________________________________________
Signature of the Person Subject to the Notice
or Duly Authorized Representative

_____________________________________________________
Date

Name: ________________________________________________________________

Please Print

Title/Position:__________________________________________________________

Please Print

NOTE: Do not fill out this form as it appears in the Canada Gazette. Please contact Environment Canada for information about electronic reporting, as provided in sections 18 and 19 of the Notice.

Notice Reference Code: P2BPA

For guidance on how to complete this Request, please refer to the “Instructions for Completing the Schedules to the Canada Gazette Notice Requiring the Preparation and Implementation of Pollution Prevention Plans with Respect to Bisphenol A in Industrial Effluents.” These Instructions can be found in the Pollution Prevention (P2) Planning section of Environment Canada’s Web site at www.ec.gc.ca/planp2-p2plan/default.asp?lang=En&n=6A389B0B-1.

Is this an amendment to a Request previously submitted? Yes No

If yes, please specify the amended parts and reasons below. In addition, please complete Parts 1.0 and 4.0 and any other Parts of this Request where previously reported information has become false or misleading. Previously reported information that is unchanged need not be resubmitted.

If no, please proceed to Part 1.0 of this Request.

Amendment Part(s)

Please specify the parts of the Request that you would like to amend.