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New: New Agricultural Registration Forms AG-1 and AG-2. |
For downloading instructions, see How to View and Download Documents.
| Format | |||
|---|---|---|---|
| Form No. | Form Name | Adobe PDF | Word/ZIP |
| Title 5 | Title 5 Operating Permit Forms (includes all application and reporting forms) | t5-forms.pdf | t5-forms.zip |
| AG-1 | Agricultural Engine Registration Application Form (7-1-2008) | ag1.pdf | ag1.doc |
| AG-2 | Instructions For Use of Agricultural Engine Registration Form AG-1 | ag2.pdf | ag2.doc |
| AG-3 | Ag Engine Change Notification Form | ag3.pdf | ag3.doc |
| APCD-01 | Permit Application - General | apcd-01.pdf |
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| APCD-01a | Authorized Agent Form | apcd-01a.pdf |
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| APCD-01C | Credit Card Form | apcd-01c.pdf |
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| APCD-01T | Transfer of Owner/Operator | apcd-01T.pdf |
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| APCD-02 | BACT Analysis Summary Form | apcd-02.pdf | apcd-02.doc |
| APCD-02a | Rule 331 Candidate BACT Replacement Form | 331bact.pdf | 331bact.zip |
| APCD-02b | Rule 331 Alternate BACT Replacement Proposal Form | 331bact.pdf | 331bact.zip |
| APCD-03 | School Summary Form | apcd-03.pdf | apcd-03.zip |
| APCD-04 | Storage Tank Summary | apcd-04.pdf | apcd-04.zip |
| APCD-05A | Emission Reduction Credits - Creating New ERCs | apcd-05a.pdf | apcd-05a.zip |
| APCD-05R | Emission Reduction Credits - Renewal | apcd-05r.pdf | apcd-05r.zip |
| APCD-05T | Emission Reduction Credits - Transfer | apcd-05t.pdf | apcd-05t.zip |
| APCD-05U | Emission Reduction Credits - Authorization of ERC Use | apcd-05u.pdf | apcd-05u.zip |
| APCD-06 | Application Requirements for Contaminated Soil Cleanup | apcd-06.pdf | apcd-06.zip |
| APCD-07 | Guidance Document For Emission Verification Of Contaminated Soil/Groundwater Cleanup (CSC) Processes | apcd-07.pdf | apcd-07.zip |
| APCD-07A | Request For Exemption From Permit Requirement For Contaminated Soil Excavation of 1,000 yd3 or Less | apcd-07a.pdf |
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| APCD-07B | Request For Exemption From Permit Requirement For Pilot Tests For Soil Remediation Sites | apcd-07b.pdf |
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| APCD-07C | Contaminated Soil Excavation Projects (over 1,000 yd3) | apcd-07c.pdf |
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| APCD-08 | Fiberglassing Operation/Resin Usage | apcd-08.pdf | apcd-08.zip |
| APCD-08A | Fiberglassing Facility Applications | apcd-08a.pdf | apcd-08a.zip |
| APCD-09 | Exhaust Hood Summary | apcd-09.pdf | apcd-09.zip |
| APCD-10 | IC Engine Timing Certification Form | apcd-10.pdf | apcd-10.zip |
| APCD-12A | Fact Sheet - Air Toxics for Facilities Required to Submit Plans/Reports | apcd-12a.pdf | apcd-12A.zip |
| APCD-12B | Fact Sheet - Air Toxics for Industry-Wide Sources | apcd-12b.pdf | apcd-12B.zip |
| APCD-13 | Bake Oven Summary | apcd-13.zip | |
| APCD-14 | Rule 360 Compliance Report | apcd-14.pdf |
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| APCD-14A | Rule 360 Summary of Requirements | apcd-14A.pdf |
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| APCD-15 | Health Risk Assessment Application | apcd-15.pdf | apcd-15.zip |
| APCD-15i | Health Risk Assessment Application Instructions | apcd-15i.pdf | apcd-15i.zip |
| APCD-17 | Solvent Recovery Plan Guideline Document and Application Form | apcd-17.pdf | apcd-17.zip |
| APCD-18 | Solvent Usage/Wipe Cleaning | apcd-18.pdf | apcd-18.zip |
| APCD-19 | Sand, Rock and Gravel Facilities | apcd-19.pdf | apcd-19.zip |
| APCD-22 | Surface Coating | apcd-22.pdf | apcd-22.zip |
| APCD-25 | Gas Station Application Form | apcd-25.pdf | apcd-25.doc |
| APCD-25E | Gas Station Supplemental Form | apcd-25e.pdf | apcd-25e.doc |
| APCD-25P | Gas Station PTO Application Form | apcd-25p.pdf | apcd-25p.doc |
| APCD-25b | Bulk Fuel Storage Facility Summary | apcd-25b.pdf | apcd-25b.zip |
| APCD-25T | Gas Station HRA Application Form | apcd-25T.pdf | apcd-25T.doc |
| APCD-26 | Emergency Episode Plan for Stationary Source Curtailment | apcd-26.pdf | apcd-26.zip |
| APCD-27 | Emergency Episode Plan for Traffic Abatement | apcd-27.pdf | apcd-27.zip |
| APCD-29 | Parameters & Emission Summary | apcd-29.pdf | apcd-29.zip |
| APCD-30 | Sumps, Pits, Wastewater Tanks, Well Cellars and Oil/Water Separators | apcd-30.pdf | apcd-30.zip |
| APCD-31 | Valves, Fittings, Flanges, Pressure Relief Devices, Compressors and Pump Seals Summary Form | apcd-31.pdf | apcd-31.zip |
| APCD-33 | External Combustion Equipment - Boilers | apcd-33.pdf |
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| APCD-34A | Diesel-Fired Primary Agricultural Engine | apcd-34a.pdf | apcd-34a.zip |
| APCD-34E | Diesel-Fired Emergency/Standby Engine | apcd-34e.pdf |
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| APCD-34P | Diesel-Fired Primary Engine | apcd-34p.pdf |
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| APCD-34R | Diesel-Engine ATCM Inventory Form | apcd-34r.pdf | - |
| APCD-35 | In-Use 20 Hour or Less Diesel-Fired Emergency/Standby Engine | apcd-35.pdf | - |
| APCD-36 | New Residential Diesel-Fired Emergency/Standby Engine | apcd-36.pdf | - |
| APCD-37 | Existing Residential Diesel-Fired Emergency/Standby Engine | apcd-37.pdf | - |
| APCD-38 | Request for Written Determination of Permit Exemption | apcd-38.pdf | apcd-38.doc |
| APCD-38M | Marine Vessel Exemption Request Form | apcd-38m.pdf | apcd-38m.doc |
| APCD-38P | 14 Day PERP Notification - State Territorial Waters and Outer Continental Shelf | apcd-38p.pdf | apcd-38p.doc |
| APCD-38W | Request for Written Determination of Permit Exemption - Wineries | apcd-38w.pdf | apcd-38w.doc |
| APCD-39 | Vapor Recovery Systems Defect Guide | apcd-39.pdf | apcd-39.zip |
| APCD-41 | Flare Summary | apcd-41.pdf | apcd-41.zip |
| APCD-43 | Dry Cleaning Equipment | apcd-43.pdf | apcd-43.zip |
| APCD-44 | Degreaser Summary Form | apcd-44.pdf | apcd-44.zip |
| APCD-45 | Odorant & Metering Station | apcd-45.zip | |
| APCD-46 | Concrete Batch Plant Form | apcd-46.pdf | apcd-46.doc |
| APCD-47 | Fabric Filter Form | apcd-47.doc | |
| APCD-50 | Winery Fermentation and Storage/Aging Tanks Form | ||
| APCD-60 | Small Boilers and Process Heaters - Installed Prior to January 17, 2008 | apcd-60.doc | |
| APCD-61 | Small Boilers and Process Heaters - Installed After January 16, 2008 | ||
| APCD-50 | Title 17 Administrative Code (Abrasive Blasting Operating Requirements) | - | apcd-50.zip |
| APCD-70 | Spark-Ignited Reciprocating Internal Combustion Engine Form | apcd-70.pdf | apcd-70.doc |
| APCD-77 | Contaminated Soil/Groundwater Cleanup | apcd-77.pdf | apcd-77.zip |
| APCD-94 | Truck Loading Rack Summary Form | apcd-94.pdf | apcd-94.zip |
| APCD-95 | Chrome Plating or Chromic Acid Anodizing | apcd-95.pdf | apcd-95.zip |
| APCD-102 | Autobody Shop and Mobile Equipment Coating Operating Supplemental Form | apcd-102.pdf | apcd-102.zip |
| APCD-103 | Monthly Motor Vehicle Refinishing, Coating, Surface Prep and Cleanup Solvent Log | apcd-103.pdf | apcd-103.zip |
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