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:
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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 |