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:
- Right-click on the link, choose "Save Target As..." or "Save Link As..." (or similar option, depending on your web browser),
- Save the document somewhere convenient, and
- 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 |
