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Air Quality Forecast/Advisories
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AQMD Forms


 

Continuous Emissions Monitoring System (CEMS) & Source Testing Forms

These documents can be viewed or downloaded by clicking on the appropriate link below.

PDF files require the use of a reader:

 

CEMS Forms and Documents
CEMS Change of Ownership (Form 210) (PDF-27 kb)
CEMS Application Packet (Form 220 with Completion Instructions) (PDF-342 kb)
CEMS Application (Form 220 only)(PDF-184 kb)
Large Source Stack Flow CEMS Application (Form 221) (PDF-46 kb)

Lowest Range Vendor Guarantee (Form 240) (PDF-197 kb)
Expedited Evaluation Request for CEMS, Protocols, Reports, LAP (Form 222-XST)(PDF-17 kb)
RECLAIM CEMS RATA Report Checklist (Form 121)(PDF-208 kb)

Paperless Chart Recorder (PCR) Guidelines (PDF-190 kb)
 
Source Testing Forms
Certification of No Exceptions (Form 111) (PDF-188 kb)
Statement of No Conflict of Interest (Form 110) (PDF-191 kb)

 

This page updated: July 03, 2008
URL: http://www.aqmd.gov/tao/methods/stcemsforms.html

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