Forms & Applications

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

Master Fee Schedule 2022 

Stationary Source Applications and Forms

Permit Application Information Used for new or modified units with the potential to create emissions

• Authority To Construct (ATC) Application
  • Supplemental Permit Forms
    • Form 155 – Automotive Coating Operations
    • Form 170 – Boilers
    • Form 235 – Dehy
    • Form 280 – Gasoline Dispensing Facility (GDF)
    • Form 310 – IC Engine
• Permit to Operate (PTO) Notification Card   (Download PDF)
• Transfer/Name Change Application   (Download PDF)
• Mailing/Billing Address Change Application   (Download PDF)

Emission Reduction Credit Information

• ERC Application    (Download PDF)
• ERC Transfer Application   (Download PDF)

Title V Permit Information

• Title V Application Packet

Annual Throughput Reports

• General Throughput Report
• Coating Operations
• Gasoline Dispensing Facilities
• Internal Combustion Engine

Gasoline Dispensing Facility (GDF) Record Keeping Forms

• GDF Testing Companies
• Quarterly (for non-retail facilities) 
• Annual (all facilities)
• GDF Maintenance and Alarm History Log

Daily Self Inspection Forms – Retail GDF

• Phase II Balance – Healy Clean Air Separator
• Phase II Assist – Healy Clean Air Separator
• Phase II Balance – Veeder-Root Vapor Polisher
• Phase II Balance – HIRT VCS 100
• Phase II Assist – Arid Permeator AT-150

Public Safety Power Shutoff (PSPS) Notification

• PSPS Engine Notification Form

Agricultural Permits and Forms

Agricultural Engine Information

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

Agricultural Burning Information

• Ag Burn Permit Application & Conditions

Confined Animal Facility (CAF) Information

• Form 07 – CAF Application 
• Form 700 – Miscellaneous Equipment 
• Form 710 – Dairy
• Form 711 – Emission Mitigation Plan (VOC)
• Form 712 – Emission Mitigation Plan (PM)

Agricultural Post-Harvest Processing

• Post Harvest Processing Permit Exemption Form 400
• Composting Permit Exemption Form 401

Large Agricultural Source Permit Information

• Agricultural Operating Permit (AOP)
• Permit Modification Application
• AOP Screening Worksheet

Asbestos

Renovation/Demolition Notification Information

• Air District Questionnaire (Complete first)
• Asbestos Notification Form & Instructions

Complaints

Air Quality Complaints Information

• Complaint Form

Breakdowns & Variances

Breakdown Information

• Form 1015 – Initial Breakdown Report
• Form 1020 – Breakdown Follow-up Report

Variance Information

• Apply for a Variance

Oil & Gas Program 

Oil & Gas Registration Information 

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

Administrative Forms & Applications

• Public Records Request Form (Please note: Fairfield, Vallejo, Benicia, and Suisun City are not in our District.  See the map of our District)