Used oil

Please indicate below the quantity of used oil received from Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Association #" below refers to each collector's Used Oil Management Association (NL) collector registration number (usually akin to NL03XX).

Please indicate below the quantity of used oil received from NON-Atlantic Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Non-Association" below refers to compagnies who are not registered as collectors with Atlantic Used Oil Management Association (NL).

Used glycol (antifreeze)

Please indicate below the quantity of used glycol (antifreeze) received from Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Association #" below refers to each collector's Used Oil Management Association (NL) collector registration number (usually akin to NL03XX).

Please indicate below the quantity of used glycol received from NON-Atlantic Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Non-Association" below refers to compagnies who are not registered as collectors with Atlantic Used Oil Management Association (NL).

Used filters

Please indicate below the quantity of used filters received from Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Association #" below refers to each collector's Used Oil Management Association (NL) collector registration number (usually akin to NL03XX).

Please indicate below the quantity of used filters received from NON-Atlantic Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Non-Association" below refers to compagnies who are not registered as collectors with Atlantic Used Oil Management Association (NL).

Used oil and glycol (antifreeze) containers

Please indicate below the quantity of used oil and glycol (antifreeze) containers received from Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Association #" below refers to each collector's Used Oil Management Association (NL) collector registration number (usually akin to NL03XX).

Please indicate below the quantity of used oil and glycol (antifreeze) containers received from NON-Atlantic Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Non-Association" below refers to compagnies who are not registered as collectors with Atlantic Used Oil Management Association (NL).

Used aerosol containers (lubricants and brake cleaners only)

Please indicate below the quantity of used aerosol containers received from Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Association #" below refers to each collector's Used Oil Management Association (NL) collector registration number (usually akin to NL03XX).

Please indicate below the quantity of used aerosol containers received from NON-Atlantic Used Oil Management Association (NL) registered collectors in the last year.

Please note that "Non-Association" below refers to compagnies who are not registered as collectors with Atlantic Used Oil Management Association (NL).

I, {signatoryName608}, {signatoryTitle} confirm the information provided on this form is accurate and I recognize it could be subject to audits. The detailed files supporting this claim are available for consultation upon request.