Forms & Applications

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SKIP TO: Stationary Sources | Throughputs | Agriculture | Asbestos | Complaints | Breakdowns & Variances | Oil and Gas  |Administrative

Stationary Source Applications and Forms

Permit Applications Used for new or modified units with potential to create emissions More Info

Form 01-Authority To Construct Application
Form 08-PTO Notification

Transfer of Ownership/Name Changes

Mailing/Billing Address Changes

Form 03-PTO Transfer /Name Change

Form 04-Mailing/Billing Address Change

Emission Reduction Credits Form 02-ERC
Form 05-ERC Transfer
Title V Permits More info Title V Application Packet
Supplemental Permit Forms Don’t see the form you need? Contact the District Form 155 – Automotive Coating Operations
Form 170 – Boilers
Form 235 – Dehy
Form 280 – Gasoline Dispensing Facility (GDF)
Form 310 – IC Engine
Annual Throughput Reports
(Instructions for Throughput Reporting)
General Throughput Report
Coating Operations
Gasoline Dispensing Facilities
Internal Combustion Engine
Gasoline Inspection Reports Daily (for retail stations)
Quarterly (for non-retail facilities) 
Annual (all facilities)
Additional Info GDF Testing Companies
Public Safety Power Shutoff Forms PSPS Engine Notification Form

Agricultural Permits and Forms

Agricultural Engines More info

Form AG1 (Basic Registration)
Form AG2 (Stationary)
Form AG3 (Portable)
Form AG4 (Locations)
Form AG5 (Revision Application)
Ag Engine Cancellation Request

Agricultural Burning More info Please see our Agricultural Burn Program page to download the permit application and instructions.
Confined Animal Facility More info Form 07 – CAF Application 
Form 700 – Miscellaneous Equipment 
Form 710 – Dairy 
Form 711 – Emission Mitigation Plan (VOC) 
Form 712 – Emission Mitigation Plan (PM)
Post-Harvest Processing Advisory (Grains/Nuts/Seeds)
Form 400
Large Ag Source Permit More info Agricultural Operating Permit (AOP)
Permit Modification Application
AOP Screening Worksheet


Renovation/Demolition Notification More info Air District Questionnaire (Complete first)
Asbestos Notification Form & Instructions


Air Quality Complaints More info Complaint Form

Breakdowns & Variances

Breakdowns More info Form 1015 – Initial Breakdown Report
Form 1020 – Breakdown Follow-up Report
Variances More info Apply for a Variance


Oil and Gas 

Oil and Gas Registration 

Form OG – Registration Application
Leak Detection and Repair (LDAR) companies


Administrative Forms and Applications

Misc. Administrative Forms Public Records Request Form (Please note – Fairfield, Vallejo, Benicia, and Suisun City are not in our District – see the map of our District)

Master Fee Schedule 2021