EQUIVALENCY CERTIFICATE APPLICATION

Please ensure to include the following information as per the Transportation of Dangerous Goods (TDG) Regulations .

APPLICATION DETAILS
Request Type Mode of Transport (check all that apply)

New ✔ Road Rail

Renewal
Air Marine
If renewing, provide the previous Equivalency Certificate number:

DANGEROUS GOODS DESCRIPTION

Primary Class
UN Number Shipping Name Packing Group
(subsidiary class)

1202 DIESEL FUEL 3 III

1203 GASOLINE 3 II

1863 FUEL, AVIATION, TURBINE ENGINE 3 III

MEANS OF CONTAINMENT (MOC) DESCRIPTION (http://www.tc.gc.ca/eng/tdg/moc-listofmoc-269.htm)

Aerosol Container Cylinder IBC – (Intermediate Bulk Container)

✔ Highway Tank Multiple-Element Gas Container (MEGC) Rail Tank Car

TC Portable Tank Ton Container Tube

UN Packaging
UN Portable Tank
Box Bag Jerrican Drum Composite packaging

Other (Please specify):

NOTE: INCOMPLETE OR INACCURATE INFORMATION WILL RESULT IN A PROCESSING DELAY.

16-0128E (2002-01)
SUMMARY
The detailed summary must include:
(a) The sections of the TDG Regulations, and if applicable, other legislations that you are proposing not to comply with, such as CSA & CGSB standards, IMDG
Code, ICAO Technical Instructions.

(b) How the “non-compliant activity” will be carried out.

(c) How the proposed “non-compliant activity” offers a level of safety at least equivalent to that provided by compliance with the TDG Act and the TDG
Regulations.

NOTE: INCOMPLETE OR INACCURATE INFORMATION WILL RESULT IN A PROCESSING DELAY.

16-0128E (2002-01)