貯存/製造/再包裝的資料的附頁
Supplement for storage / manufacture / repackaging
	
A.	樓宇資料(貯存/製造/再包裝)
	Information of premises (storage/manufacture/repackaging)
公司名稱
Company name		
樓宇地址
Address of the premises		
樓宇類型 (例: 工廠大廈) 
Type of the premises (eg. Industrial building)		
樓宇面積
Area of the premises		
建築材料 
Building Material of the premises		
消防設備
Fire equipment		
已事先獲下述部門批准
Prior approval has been granted by:	✳	詳情
Details	
	環境保護署                                    
	Environmental Protection Department	   	                                                            			
	消防處
	Fire Services Department	   	                                                            			
	地政總署
	Lands Department	   	                                                            			
	其他
	Other(s)	   	                                                            			
			
✳  請在適當的空格內加上號  Please tick appropriate box(es).

B.	除害劑的製造及/或再包裝的資料  
	Information on local manufacture and/or repackaging of pesticides
 使用之化學品
 Chemicals to be used		
 涉及之配方
 Formulations involved		
 設施與器材
 Facilities & equipment		
 估計年產量
 Estimated annual production		

 這些除害劑用於
 The pesticides are for
	   :	 本銷
	   supply/ retail in the local market
   :  出口
	   export	       	✳		   		

							
							
✳ 請在適當的空格內加上號  Please tick appropriate box(es).