Forms

Eastern Kern

Air Pollution Control District

"Serving Eastern Kern County"

General Information

Grant Apps. & Info.

District Rules and Regulations

CEQA Guidelines

Forms:

Permitting Forms:

1.	Authority to Construct or Permit to Operate Application Package and Instructions (Interactive)
2.	Authority to Construct Gasoline Storage and Dispensing Facility Application Package and Instructions (Interactive)
3.	Piston Engine Data Application Package and Instructions
4.	Priority Processing Request
5.	General Application Form (Interactive)
6.	List and Criteria
7.	Environmental Information Form and Initial Study Evaluation (CEQA)
8.	Assignment of Agent (Interactive)
9.	Notice of Exemption CEQA
10.	CEQA Indemnity Agreement
11.	Compliance Certification
12.	Title V Standard District Application
13.	Title V Reporting Requirements (Nonconformance and Compliance Certification)
14.	Agricultural Diesel Engine Registration Form (Facility and First Engine information)
15.	Additional Agricultural Diesel Engines Registration Form (Engine information for each additional engine)

Burn Permit Forms:

16.	Application for Permit to Burn Ag Waste on a "No Burn Day"
17.	Application for Film/Video/Photo Production Burn Permit

Compliance Assistance Forms:

18.	Application for Confidential Classification of Source Data
19.	Daily Coating Log
20.	Paint Usage Formulas (Call 661-862-5250)
21.	EVR Compliance Plan
22.	EVR Self Inspection Checklist
23.	EVR Maintenance and Alarm Log
24.	Gasoline Dispensing Facilities Test Procedure Protocol Notice w/Instructions (Interactive)
25.	Source Test Consultant Audit
26.	Compliance Test Review
27	Equipment Breakdown Initial Notice
28.	Equipment Breakdown Written Report
29.	EVR Maintenance and Alarm Log (Interactive)
30.	Paint Stripping Form
31.	PERP Written Notification
32.	PERP Verbal Notification
33.	Dust Control Plan

Asbestos Removal Forms:

34.	Asbestos Notification
34.a	Asbestos Fees
35.	Demolition Permit Release

Variance Information and Forms:

36.	Procedure Variance (Hearing Board)
37.	Petition for Variance (Hearing Board)
38.	Variance Quick Reference Chart

38.	Request to Obtain/View records

[ HELP Us Pamphlet ][CEQA Guidelines]

Send mail to ekapcd@co.kern.ca.us with questions or comments about this web site. Last modified: August 18, 2010