REGISTRATION FORM Expression of Interest for Seeking Approval
Contents
1. with the Laws of Hong Kong 6 I We declare that the Device under registration for approval will not cause any unacceptable risk to the public in Hong Kong 7 I We believe the following undertakings are acceptable to us should the device under registration be accepted for approval under the Air Pollution Control Emission Reduction Devices for Vehicles Regulation e We shall fully and effectively indemnify the Government of the Hong Kong Special Administrative Region against any claims that are related to or arising from the installation use or disposal of the Device as an approved Particulate Reduction Device 4 e 1 We understand that the approval should it be granted is based on the submissions for the Device in this application I We understand that once change is made to the Device its approval shall immediately become void automatically e 1 We shall stop the supply of any approved devices found to be defective or pose a risk to the public and recall each and every such device at my our own cost e J We understand that if the Director of Environmental Protection consider it necessary he will delete the approval of the Device without prior notice from the register I We understand that if necessary you will also require us to recall each and every approved device at my our own cost as soon as a notice for deleting the approval of the Device is issued in the register e We shall not publish nor advertise2. REGISTRATION FORM Expression of Interest for Seeking Approval for a Particulate Reduction Device for non long idling pre Euro Diesel Vehicles of Permitted Gross Vehicle Weight over Four Tonnes Please read the Notes below before completing this form Notes to the Applicants 1 The information provided for the expression of interest is for the Director of Environmental Protection to make a list of approved devices ready when the relevant legislation for making the installation of approved particulate reduction devices a mandatory requirements for non long idling pre Euro diesel vehicles of permitted gross vehicle weight over four tonnes comes into force The applicant should read the Provisional Guidelines for the Application for Approval for a Particulate Reduction Device for non long idling pre Euro Diesel Vehicles over Four Tonnes before completing this application form The applicant should also read the Air Pollution Control Ordinance and the Air Pollution Control Emission Reduction Devices for Vehicles Regulation before submitting this application The applicant should complete all parts of the application form Otherwise we cannot process the application Each application shall cover ONE model of Particulate Reduction Device only Please complete the form clearly by typing or writing in black or blue ink If there is not sufficient space in any column to fill in all the information you may use separate sheets
3. Seeking Approval for a Particulate Reduction Device for non long idling pre Euro Diesel Vehicles of Permitted Gross Vehicle Weight over Four Tonnes To Director of Environmental Protection 1 I We hereby register our interest for your approval of the under named device the Device as an approved Particulate Reduction Device and our intention to supplying the Device to Hong Kong by submitting the required information for your advance assessment The Device is suitable for use in non long idling pre Euro Diesel Vehicles of permitted gross vehicle weight over 4 tonnes 2 I We hereby declare that all the information and particulars provided in this application including but not limited to plans test reports and specifications are true and correct 3 I We have read and understood the Notes to Applicants of this registration form and the Provisional Guidelines for the Application for Approval for a Particulate Reduction Device for non long idling Pre Euro Diesel Vehicles of Permitted Gross Vehicle Weight over Four Tonnes 4 I We understand that this registration is voluntary and you do not guarantee particulate reduction device meeting the requirements will eventually be approved I We shall not make any claims for costs related to the preparation and submission for the registration and the subsequent approval requirements irrespective of the outcome 5 I We declare that the Device under registration for approval fully complies
4. able for goods vehicles but excluding those with the following types of body given in the Registration Document Aerial Platform Mobile Concrete Pump Mobile Crane Lorry Crane Concrete Mixer Gully Emptier or Pressure Tanker d Motor diesel of maximum allowable sulphur content of 6 Documents submitted in support of this application Note Please tick box if submitted An explanation should be provided for not submitting any of the following supporting documents 1 Non Long Idling Pre Euro diesel vehicles over 4 tonnes and Using Diesel of Sulphur Content not more than 0 005 by Weight B 11 Technical papers and references that substantiate the design and C operation principle of the Device B 12 Details of the construction of the Device including type of C construction materials fully dimensioned drawings and mounting details B 13 Colour photos product brochures and commercial promotional E packages of the Device B 14 a Test Report to demonstrate that the device has the particulate reduction E percentage of the Particulate Reduction Device achieves an initial particulate reduction of no less than 35 under the transient test The test fuel for all tests should never contain sulphur less than 0 005 by weight B 14 b Test Report to demonstrate the backpressure increase due to the E installation of the Particulate Reduction Device will not result in an increase in exhaust backpre
5. applicant individual or business name English Chinese H K Identity Card No if the applicant is an individual Business Registration Certificate No Certificate of Incorporation No if the applicant is a corporation Correspondence Address Telephone No Fax No E mail address Qualified Engineer for the application refer to Paragraph 4 4 of the Provisional Guidelines Name English Chinese Discipline Registered professional engineer number Address Telephone No Fax No Materials prepared by the Qualified Engineer 1 ii 111 iv v 4 Details of the Device a Brand name b Model No c Other trade name or description d Country of origin e Type ofdevice Filter L Catalytic Converter Other please specify f Dimension g Material of construction h Use of Fuel Additive It is a fuel additive by itself Yes No 5 Application of the Device Applicable to vehicle class Ro ian a Type of vehicle Light Bus Goods Vehicle Bus See Note B b Maximum cylinder displacement cc i with turbo charger ii without turbo charger c Permitted gross vehicle weight tonnes Fill in spaces for applicable vehicles Note A Please provide the class of vehicle B The device is suit
6. brochures and commercial promotional packages of the Device B 35 a Test Report to demonstrate that the device has the particulate reduction percentage of the Particulate Reduction Device achieves an initial particulate reduction of no less than 25 under the transient test The test fuel for all tests should never contain sulphur less than 0 2 by weight B 35 b Test Report to demonstrate the backpressure increase due to the installation of the Particulate Reduction Device will not result in an increase in exhaust backpressure of more than 25 mm Hg B 35 c Test Report to demonstrate the installation of Particulate Reduction Device will not increase in CO THC NOx or other harmful emissions B 35 d Test Report providing analysis of test fuels used for all testing B 36 amp Documentary evidence showing the Laboratory s competency B 37 B 38 Local or overseas trial data of the Device B 39 Drawings and photos illustrating smoke measurement can be carried out without the need of dismantling of the Device B 40 Test report to demonstrate the installation of the device will not result in any increase in noise as required under Section 30 of the Road Traffic Construction and Maintenance of Vehicles Regulations B 41 Full details on the maintenance required and a list of all consumable parts of the Device and their replacement frequency B 42 Chinese and English use
7. ies relating to the processing of your submission in this form b administration and enforcement of relevant environmental legislation C pollution complaint investigations d statistical and any other legitimate purposes and e to facilitate communications between Government and yourself 2 The provision of personal data by means of this form is voluntary If you do not provide sufficient information we may not be able to process your application Classes of Transferees 3 The personal data you provided by means of this form may be disclosed to a other government bureaux and departments and any other organizations or panels for the purposes mentioned in paragraph 1 above and b other persons as permitted by the relevant legislation Access to Personal Data 4 You have a right of access and correction with respect to personal data as provided for in sections 18 and 22 and data protection principle 6 of Schedule 1 to the Personal Data Privacy Ordinance Your right of access includes the right to obtain a copy of your personal data provided by this form Enquiries 5 Enquiries concerning the personal data collected by means of this form including the making of access and corrections should be addressed to Senior Environmental Protection Officer Knowledge Management 40 F Revenue Tower Centre 5 Gloucester Road Wanchai Hong Kong Tel 2838 3111 Fax 2838 3111 REGISTRATION FORM Expression of Interest for
8. of paper cross referenced to the particular column clearly marked on the sheet All the additional sheets of information shall be numbered and duly signed by the applicant All pages of the supporting documents shall be numbered The applicant shall submit sufficient information for proving the Device meets the requirements for an approved Device as laid down in the Provisional Guidelines for the Approval for a Particulate Reduction Device for Non Long Idling Pre Euro Diesel Vehicles over Four Tonnes Otherwise the device will be deemed to be failing to meet the requirements 1 10 The completed form and all the supporting documents shall be submitted to the Mobile Source Control Group of Environmental Protection Department at 33 F Revenue Tower 5 Gloucester Road Wanchai Hong Kong With the envelope marked with For PRD Registration Opening Hours Monday to Friday AM 9 00 to 12 15 PM 1 30 to 5 00 Saturday AM 9 00 to 11 30 11 Enquiries concerning the application may be made to the Mobile Source Control Group of Environmental Protection Department at 33 F Revenue Tower 5 Gloucester Road Wan Chai Hong Kong Telephone No 2824 0022 Facsimile No 2877 8690 Personal Information Collection Statement For General Application Purpose of Collection 1 The personal data provided by means of this form will be used by Environmental Protection Department for one or more of the following purposes a activit
9. r manual on the maintenance and cleaning of the Device other relevant documents for consideration please specify 11 November 2005 END
10. ssure of more than 25 mm Hg B 14 c Test Report to demonstrate the installation of Particulate Reduction E Device will not increase in CO THC NOx or other harmful emissions B 14 d Test Report providing analysis of test fuels used for all testing E B 15 amp Documentary evidence showing the Laboratory s competency E B 16 B 17 Local or overseas trial data of the Device C B 18 Drawings and photos illustrating smoke measurement can be carried E out without the need of dismantling of the Device B 19 Test report to demonstrate the installation of the device will not result E in any increase in noise as required under Section 30 of the Road Traffic Construction and Maintenance of Vehicles Regulations B 20 Full details on the maintenance required and a list of all consumable E parts of the Device and their replacement frequency B 21 Chinese and English user manual on the maintenance and cleaning of E the Device other relevant documents for consideration please specify E 2 Pre Euro non long idling diesel vehicles over 4 tonnes and Using Diesel of Sulphur Content up to 0 2 by Weight B 32 Technical papers and references that substantiate the design and operation principle of the Device B 33 Details of the construction of the Device including type of construction materials fully dimensioned drawings and mounting details B 34 Colour photos product
11. without your prior written consent any materials related to the application where Government s name is mentioned e We understand that the approval of this application or otherwise is at your sole discretion Irrespective of your decision on the application I we shall not make any claims for losses against the Government of the Hong Kong Special Administrative Region in connection with the application e J We shall be responsible for the installation of the Device and shall ensure the installation meets all the requirements of the installation guidelines given in Appendix D of the Application Guidelines e We shall provide every customer with a copy of the installation instructions of the Device upon purchase The installation specifications for the device shall comply with the installation guidelines given in Appendix D of the Application Guidelines e We shall ensure the installation of the device will not result in any increase in noise as required under Section 30 of the Road Traffic Construction and Maintenance of Vehicles Regulation e J We shall keep full record of all noise tests conducted before and after the installation of an approved device for inspection by the Commissioner for Transport Notes delete as appropriate Signature Name BLOCK LETTERS Responsible Position Name of Company Company Chop Dated this day of 20 Details of the Applicant Name of
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