To download a copy of a form Right-Click the link and use Save Link/Target As... to copy the file to your computer. Clicking on a form link will open, view, or offer to download a file depending on the browser you use and the type of file. It is suggested you use the first method as it will give you more control.
All forms are in "fillable" PDF format, enabling you to print a blank form and fill it out by hand or type into the PDF form fields and print the forms completed. If you are using the latest PDF readers, you should be able to fill in the form and save it to disk and then email the resulting file to us - no need to make a printed version.
Some forms indicate a fee is to be submitted for processing. In those cases, mail the completed form, along with a check or money order, to the San Luis Obispo County Air Pollution Control District, 3433 Roberto Court, San Luis Obispo, CA 93401. You may also call us at 805-781-5912 to pay your filing fees over the phone with a credit card.
Agricultural Burn Permit | Online |
Backyard (unavailable when backyard burn season is closed) | Online |
If you have held a burn permit in the past 2 burn seasons you can also renew your permit online! | Online |
NESHAP Demolition/Renovation Notification Form | |
NOA Construction and Grading Project/Exemption Form |
An Authority to Construct/Permit To Operate (ATC/PTO) Application form, plus applicable specific equipment supplemental forms, should be submitted for any new or modified equipment ($396.20 filing fee).
A Change of Ownership/Name form should be submitted if the equipment hasn't changed but the responsible person has or will change ($297.15 filing fee). That form should also be used to record a change in business name that doesn't involve a change in responsibility ($297.15 filing fee).
A Permit to Operate is not transferable from one location to another, from one piece of equipment to another, or from one person to another. If equipment will soon be moved to a new address, an ATC/PTO Application form should be submitted. Please submit electronic applications to [email protected].
General Forms | File Format | |
Authority to Construct / Permit to Operate Application | ||
Contacts Form | ||
Change of Ownership/Name | ||
Breakdown/Upset -Initial Breakdown Upset Form | ||
Breakdown/Upset forms Breakdown Upset Follow-up Report | ||
Process Forms | ||
Abrasive Blasting Equipment | ||
Cannabis Cultivation and/or Manufacturing | ||
Concrete and Mineral Processing | ||
Degreasing Operations | ||
Dry Cleaning Equipment | ||
Fuel Combustion Process | ||
Gasoline Dispensing Facility Process | ||
General Process | ||
Internal Combustion Engine Process | ||
Organic Liquid Storage | ||
Surface Coating Operations | ||
Wine Operations | ||
Agricultural Engine Registration Forms | ||
Ag Engine Registration App. Form (AG-1) | ||
Ag Engine Registration App. Instructions (AG-2) | ||
Ag Engine Change Notification Form (AG-3) | ||
Ag Engine Location Change Policy Memo | ||
Title V Forms | ||
Applicable Requirements Form | Word | |
Operational Flexibility Form | Word | |
Compliance Plan and Certification Form | Word | |
Annual Compliance Certification Form | Word |
The APCD's Emissions Inventory request for 2023 included all the required forms for your facility, eliminating the need to download any forms here. If you did not receive this request, please contact the APCD as soon as possible at 805-781-5912.
Form 1: Data Certification | |
Form 2: Fuel Combustion | |
Form 3: Industrial Paint and Solvent Use | |
Form 4: Other Solvents and Organic Compound Sources | |
Form 5: Autobody Bodyshop VOC Calculations | |
Form 6: Dry Cleaning | |
Form 7: Waste Water Treatment | |
Form 8: Crematories | |
Form 9: Asphaltic Concrete Batch Plants | |
Form 10: Concrete Batch and Block Plants | |
Form 11: Rock and Sand Processing Plants | |
Form 12: Feed and Grain Mills | |
Form 13: Gasoline Dispensing Facilities | |
Form 14: Petroleum Loading of Tank Trucks | |
Form 17: Petroleum Refining Process | |
Form 18: Oil and Gas Production | |
Form 19og: Oil and Gas Production and Oil Transfer Pumping | |
Form 19rf: Petroleum Refinery Fugitive Emission | |
Form 20: Storage of Organic Liquids - Tank and Material Characteristics | |
Form 21: Storage of Organic Liquids - External Floating Roof Tank Fittings | |
Form 23: Coke Processing | |
Form 26: Grain Fermentation | |
Form 28: Retail Gasoline Bulk Plants | |
Form 29: Commercial Printing | |
Form 30: Landfill | |
Form 31: Coffee Roaster | |
Form 32: Stand-by/Backup Generators | |
Form 33: Wineries | |
Form 34: Ag Engine Registration | |
Form 35: Auto Wrecking/Dismantling | |
Form 36: Portable IC Engine | |
Form 40: Methyl Bromide Fumigation |
Back Up Generator Operating Log | |
Dry Cleaning Solvent Records | |
Industrial Paint and Solvent Records | |
Portable Equipment Operating Log |
Form Name | ||
Annual Engine Usage Report (tractors, on-road trucks, buses, construction, etc) | ||
Annual Usage Report - Electric Vehicle Infrastructure |
Form Name | ||
Document Subscription/ Copy Request Form | ||
Compliance Customer Satisfaction Survey | ||
Complaint Form | ||
Request for Taxpayer Identification (W-9) | ||
Petition for Variance by the APCD Hearing Board |
Contact us for more information on this topic.