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Monitoring & Reporting Air Quality
Clean Fuels & Transportation Alternatives
Protecting Your Health

Downloadable Forms

Downloading Instructions

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.
 

Asbestos Forms 

NESHAP Demolition/Renovation Notification Form PDF
NOA Construction and Grading Project/Exemption Form PDF


Authority to Construct & Permit to Operate Application Forms

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 ($220 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 ($105 filing fee). That form should also be used to record a change in business name that doesn't involve a change in responsibility ($105 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.

General Forms File Format
Authority to Construct / Permit to Operate Application PDF
Contacts Form PDF
Change of Ownership/Name PDF
Cannabis Application PDF
Gasoline Dispensing Facilities --- Please call APCD for more information  
Portable Engine Permit Application (Process Form not needed) PDF
Prime Use Diesel Engine Permit Application (Process Form not needed) PDF
Standby Diesel Engine Permit Application (Process Form not needed) PDF
Winery Permits Application (Process Form not needed) PDF
Breakdown/Upset -Initial Breakdown Upset Form PDF
Breakdown/Upset forms Breakdown Upset Follow-up Report PDF
Agricultural Engine Registration Forms  
Ag Engine Registration App. Form (AG-1) PDF
Ag Engine Registration App. Instructions (AG-2) PDF
Ag Engine Change Notification Form (AG-3) PDF
Ag Engine Location Change Policy Memo PDF  
Title V Forms  
Applicable Requirements Form Word
Operational Flexibility Form Word
Compliance Plan and Certification Form Word
Annual Compliance Certification Form Word


Other Forms

Form Name  
Document Subscription/ Copy Request Form PDF  
Compliance Customer Satisfaction Survey PDF  
Complaint Form PDF  
Request for Taxpayer Identification (W-9) PDF  
Petition for Variance by the APCD Hearing Board PDF  

 

Contact us for more information on this topic.