Used oil

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

Please note that "Association #" below refers to each collector's Atlantic Used Oil Management Association (NS) collector registration number (usually akin to NS03XX).

Please indicate below the quantity of used oil received from NON-Atlantic Used Oil Management Association (NS) 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 (NS).

Used glycol (antifreeze)

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

Please note that "Association #" below refers to each collector's Used Oil Management Association (NS) collector registration number (usually akin to NS03XX).

Please indicate below the quantity of used glycol (antifreeze) received from NON-Atlantic Used Oil Management Association (NS) 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 (NS).

Used filters

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

Please note that "Association #" below refers to each collector's Used Oil Management Association (NS) collector registration number (usually akin to NS03XX).

Please indicate below the quantity of used filters received from NON-Atlantic Used Oil Management Association (NS) 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 (NS).

Used oil, glycol (antifreeze) and diesel exhaust fluid containers

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

Please note that "Association #" below refers to each collector's Used Oil Management Association (NS) collector registration number (usually akin to NS03XX).

Please indicate below the quantity of used oil, glycol (antifreeze) and diesel exhaust fluid containers received from NON-Atlantic Used Oil Management Association (NS) 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 (NS).

Used aerosol containers (lubricants and automotive parts cleaners only)

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

Please note that "Association #" below refers to each collector's Used Oil Management Association (NS) collector registration number (usually akin to NS03XX).

Please indicate below the quantity of used aerosol containers received from NON-Atlantic Used Oil Management Association (NS) 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 (NS).

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.