Compliance Assistance Templates and Forms

 

About the Forms

The forms below are available on-line in PDF format. These documents are also available from the District in paper form. (See contact information.)

If a document does not download correctly when you click on it, try this:

  1. Right-click on the link, choose "Save Target As..." or "Save Link As..." (or similar option, depending on your web browser),
  2. Save the document somewhere convenient, and
  3. Open it from the appropriate program (e.g., Adobe Reader).

Note that some documents may appear differently on different computers depending on the fonts installed and other settings.


Record-Keeping Forms

These are forms for keeping track of routine compliance activities for specific types of processes.

Description Adobe PDF
Abrasive Blasting (sand blasting, shot blastic, etc.) Abrasive blasting records form AP-200B
Automotive or Marine Body Shop Body shop records form
Dust Collector Dust collector records form
Emergency Generator Generator records form
Reg. 7.59 - coating of metal parts Reg. 7.59 records form
Visible Emissions Visible emissions records form
Waste Oil Furnace Waste oil furnace records form

PTE Calculation Templates

These are templates for calculating potential emissions from specific types of processes.

Description Adobe PDF
Abrasive blasting booth Blast Booth PTE
Abrasive blasting cabinet Blast Cabinet PTE
Automotive body shop Body Shop PTE
Blending, storage and drum loading Blending, Storage and Loading PTE
Boiler Combustion PTE
Cold solvent parts washer Parts Washer PTE
Dry cleaning Dry Cleaning PTE
Lithographic press Lithographic Press PTE
Mineral crusher Mineral Crusher PTE
Pyrolysis oven Pyrolysis Oven PTE
Spray booth Spray Booth PTE
Waste Oil Furnace Waste Oil Furnace PTE

Other Compliance Forms

Description Adobe PDF
Simple excess emissions reporting form for a startup, shutdown or upset condition involving odor or dust at a small facility Form 311
Detailed excess emissions reporting form for a startup, shutdown or upset condition involving a criteria pollutant, air toxic or any problem at a larger facility Form 312
Title V Annual Compliance Certification Form 9400-O
FEDOOP Annual Compliance Certification Form 9440-O
Minor Source or Registered Source Annual Certification Form 500B
Compliance certification: NESHAP - 40 CFR Part 63 Subpart HHHHHH NESHAP- HHHHHH
Petition for exemption under 40 CFR Part 63 Subpart HHHHHH Petition for Exemption
MACT 40 CFR Part 63 Subpart JJJJJJ initial notification MACT 6J