Formulaire

Declaration of possession of equipment containing PCBs or PCTs (Form 11743*01)

Cerfa 11743*01

Declaration of apparatus with a capacity exceeding 5 dm³ containing dielectric, hydraulic or insulating fluids contaminated or likely to be contaminated with more than 50 ppm PCB (polychlorinated biphenyls) and PCT (polychlorinated terphenyls)

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    To whom shall I send this form ?

    J'ai réalisé une démarche administrative

    Je donne mon avis sur Services Publics +. L'administration concernée me répondra.

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    Émetteur du formulaire administratif : Ministry of the Environment

    Verified 25 February 2016 - Directorate for Legal and Administrative Information (Prime Minister)