HomeForms and Applications      


Yolo-Solano Air Quality Management District
1947 Galileo Ct., Suite 103
Davis, CA 95618

(530) 757-3650 or
(800) 287-3650
FAX (530) 757-3670

Ag Burn Line
(800) 246-3660 or
(530) 757-3660

The Yolo-Solano Air Quality Management District is dedicated to protecting human health and property from the harmful effects of air pollution.

webmaster@ysaqmd.org

Printable Forms
You will need Download Acrobat Reader to download these forms. Some forms can be filled in on-line then printed out but cannot be submitted on-line.  

Administration

Subscription Request

Public Records Request; Information Request

Agriculture & Ag Related

- Ag Engine Registrations

 

 

 

 

- Burn Program

 

- Post Harvest Processing Operations

 

 

- Confined Animal Facility

 

 

 

- Large Ag Sources

 

 

 

Agricultural Engine Registration Application (Form AG1)

Stationary Agricultural Engine Supplemental (Form AG2)

Portable Agricultural Engine Supplemental (Form AG3)

Agricultural Engine Location (Form AG4)

Modified Registration Application (Low, Intermittent Emergency Use) (Form AG5)

(Excluding mobile equipment, every non-road agricultural-use engine such as pump engines, both portable and stationary, rated greater than 50 hp is required by Rule 11.3 to have a District registration.)

 

Agricultural Burn Permit     Application Instructions

(For rural residential burning, contact your local fire district.)

 

Form 400  ADVISORY: Grain, Nut, Seed Processing Facilities

(Post harvest processing operations which emit air contaminants are required by Rule 3.1 to obtain a traditional District ATC and PTO permit - see below under Engineering forms.  However, if a farmer is only processing agricultural products (e.g. walnuts, almonds or seeds) which they grew themselves on their own ranch, the owner may be able to obtain an exemption from District permit per Rule 3.2)

 

CAF Permit Application (Form 07)

Supplemental CAF Permit Application - Misc. Equipment (Form 700)

Supplemental CAF Permit Application - Dairy (Form 710)

Emission Mitigation Plan (EMP) - Dairy: VOC (Form 711)

Emission Mitigation Plan (EMP) - Dairy: PM (Form 712)

(Every facility which meets the rule definition for a "Large" CAF is required to have a District CAF permit.  For dairies and feedlots, the threshold is 1,000 cows.)

 

Agriculture Operating Permit (AOP) application - Instructions

Permit Modification Application  - Instructions

AOP Screening Worksheet

(Every agricultural source from a single location or contiguous locations which emits more than 1/2 the major source threshold is required by Rule 11.1 to have a District AOP permit.)

Compliance

 

     

     

 

ASBESTOS

Demolition/Renovation

AIR QUALITY COMPLAINTS

BREAKDOWN/VARIANCE

Complaint Form

Initial Breakdown Report

Breakdown Follow Up Report

Application for Variance

GASOLINE INSPECTION

 

Daily
Quarterly
Annual

ANNUAL THROUGHPUT PRODUCTION REPORTS

For 2011

 

Be sure to use the appropriate form for your permit:

General:

Instructions

Form

Coating Operations:

Instructions for all coating forms

Automotive Coating Form

Metal Parts Coating Form

Wood Products Coating Form

Internal Combustion Engine:

Instructions

Form

Gasoline Storage & Dispensing:

Instructions

Form

   
Engineering

Authority to Construct (ATC)
Emission Reduction Credit (ERC)
Permit to Operate (PTO) Change Application:

(Change of Ownership, Name Change, Mailing Address Change, Billing Address Change)

ERC Transfer of Ownership
Fees

Supplemental Forms:

Form 155 - Automotive Coating Operations
Form 235 - Dehy
Form 280 - Gasoline Dispensing Facility (GDF)
Form 310 - IC Engine
Form 600 - Letter of Release (transfer of ownership)

Transportation

Clean Air Funds Application - Available mid-January - March of each year. For more information contact the program coordinator or call (530) 757-3653.
Methods to Find the Cost-Effectiveness of Funding Air Quality Projects" (2.51 MB) is an interactive database you may use to evaluate the cost effectiveness of projects. The file is in Microsoft Access MDB format, and requires Access for use. It is recommended that you save the file to your computer to do the calculations. If you do not have Access, contact the District for assistance (530) 757-3653.

 

 

   
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