Licence Transfer Application Form Step 1: Guidance · Licence Transfer Application Report -...

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Licence Transfer Application Form Step 1: Guidance Current Licensee Contact Name Jason Brogan Contact Position Regulatory Affairs Officer Date 08/05/2015 Proposed Transferee Contact Name Jason Brogan Contact Position Regulatory Affairs Officer Date 12/05/2015 Licence Transfer Application Report - P0072-03 Page 1 of 12 For inspection purposes only. Consent of copyright owner required for any other use. EPA Export 17-05-2015:23:45:53

Transcript of Licence Transfer Application Form Step 1: Guidance · Licence Transfer Application Report -...

Page 1: Licence Transfer Application Form Step 1: Guidance · Licence Transfer Application Report - P0072-03 Page 2 of 12 For inspection purposes only. Consent of copyright owner required

Licence Transfer Application Form

Step 1: Guidance

Current Licensee

Contact Name Jason Brogan

Contact Position Regulatory Affairs Officer

Date 08/05/2015

Proposed Transferee

Contact Name Jason Brogan

Contact Position Regulatory Affairs Officer

Date 12/05/2015

Licence Transfer Application Report - P0072-03 Page 1 of 12

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Page 2: Licence Transfer Application Form Step 1: Guidance · Licence Transfer Application Report - P0072-03 Page 2 of 12 For inspection purposes only. Consent of copyright owner required

Step 2: Current Licensee

Licence Reg No P0072-03

Licensee Devcon Limited

Licence County Clare

Site Location Bay 150, Shannon Industrial Estate, Shannon, Clare

ELRA / CRAMP Review

Provide additional information on ELRA / CRAMPBoth an ELRA and DMP have been submitted to the agency in recent weeks and approval has been given on these respective reports.

Request ELRA / CRAMP Status? ELRA/CRAMP Approved

Contact Information

Proposed Transferee Organisation ITW Ireland (ITW Engineered Polymers, A Division of ITW Ireland)

Proposed Transferee Contact Email [email protected]

Reason for licence transfer request

Devcon Ltd has ceased trading for a number of years now and all ITW sites in Ireland trade as ITW Ireland. There are a number of ITW companies in Ireland and the Shannon facility known as ITW Engineered Polymers is one such division of ITW Ireland. As ITW Ireland is the registered company, our IEA license must be redirected to ITW Ireland as the company. Devcon Ltd was purchased by ITW in the 90's. I have set a desired date for this change to take effect of the 19th June 2015 next but obviously sooner would be better.

Desired date for proposed transfer to take effect 19/06/2015

Confirm Enforcement Charges Paid Yes

Specify Outstanding Enforcement Charges €0.00

Additional Information

Additional Information

Licence Transfer Application Report - P0072-03 Page 2 of 12

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Step 3: Proposed Transferee

Name ITW Ireland (ITW Engineered Polymers, A Division of ITW Ireland)

Address Bay 150, Shannon Industrial Estate, Shannon, Clare

Transfer Contact Jason Brogan

Additional Transfer Contacts

Name Position Home Phone Mobile Phone Email

Brian Rainsford Operations Manager 061771506 [email protected]

Frederik Sommer Gleerup QHSE Manager +45

21682789 [email protected]

General Background

Business Activity

ITW Engineered Polymers, A Division of ITW Ireland are manufacturers of adhesives, coatings, sealants and chocking agents at the Shannon, Co. Clare facility.

In addition, we can-down products similar to what we manufacture in Shannon, that are imported from ITW Divisions in the US for sale in continental Europe.

Date Established 14/08/1996

Total Assets Value €137,500,000

Turnover €44,600,000

Profit €8,100,000

State whether your organisation is a Holding Company No

Fit and Proper Person Checks

Environmental Protection Agency Act 1992 as amended? No

Waste Management Act 1996 as amended? No

Local Government Acts 1977 and 1990 or Air Pollution Act 1987? No

Licence Transfer Application Report - P0072-03 Page 3 of 12

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Management and Supervisory Details

Name Details of Relevant Education, Training and Experience Responsibilities

Brian Rainsford

EducationBSc Business.Diploma in Applied Chemistry.

Training Diploma in Quality Management ISO 9000 & Quality Auditor Training Certificate in Health, Safety & Welfare at Work.

ExperienceOperations Manager with over 20 years experience at various levels in multiple manufacturing company’s.

Operations Manager for 6 sites in Europe and USA in the Engineered Polymers Division of ITW

Frederik Sommer Gleerup

Relevant Education: - Master’s Degree in Civil Engineering and Environmental Management. - ISO 14001 iema Lead Auditor

Experience: - 11 year’s proven experience in Environmental Management.

QHSE manager for 3 European sites in the Engineered Polymers Division of ITW

Jason BroganBSc. Industrial ChemistryGrad. Dip. Chemical EngineeringISO14001 Auditor Training

Regulatory Affairs Officer comprising EH&S at ITW Engineered Polymers site in Shannon, Co. Clare

Licence Application History

Has the Proposed Transferee, their parent company or any relevant person had an application for a licence...

Granted? No

Rejected? No

Revoked? No

Transfer Refused? No

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Additional Information

Financial Provision in place? No

Additional Information

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Step 4: Fees, Declaration and Submit

Payment Amount €2,000

Payment Method Cheque

Payment Date 11/05/2015

Application Submission Date 17/05/2015

Licence Transfer Application Report - P0072-03 Page 6 of 12

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Licence Transfer Application Report - P0072-03 Page 8 of 12

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The registered office of ITW Ireland is at the following address: 

6th Floor 

2 Grand Canal Square 

Dublin 2 

Ireland 

Company registration number 58156 

Licence Transfer Application Report - P0072-03 Page 9 of 12

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ITW Inc.USA

ITW Ireland

ITW Engineered Polymers (Shannon)

ITW Filtertek (Newcastlewest)

ITW Crop Packaging (Wexford)

ITW Graphics (Kinsale)

ITW MIMA (Waterford)

ITW Ireland Organisational Structure

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