Permit Forms – Implementing SB 700

Introduction | Permit Forms | Diesel Engine Rules | DefinitionsFrequently Asked Questions

If you need a local permit, download the appropriate documents below, and follow instructions to apply for a permit.  For help downloading documents, see How to View and Download Documents. If you are unsure whether you need a local permit, contact Brian Shafritz at 961-8823 or Joe Petrini at 961-8894.

Form Name Adobe PDF
Initial Permit Application apcd-01.pdf
Diesel-Fired Primary Agricultural Engine Application apcd-34a.pdf
Gas Station Application apcd-25.pdf
New engine installations:
Diesel-Fired Primary Engine apcd-34p.pdf
Diesel-Fired Emergency/Standby apcd-34e.pdf

If you need a federal permit, download the appropriate documents below, and follow instructions to apply for a permit. For help downloading documents, see How to View and Download Documents.

All submissions need an Initial Permit Application Form and a General Compliance Form. Then for each equipment type, two forms are needed, a permit application and a compliance certification. Please contact our Business Assistance Line at (805) 961-8868, or e-mail [email protected] to determine which forms you need to submit.

Form Name Adobe PDF
Initial Permit Application AP-01.pdf
General Compliance Certification AC-G.pdf
Engines
Permit Application AP-02-engines.pdf
Compliance Certification AC-02-engines.pdf
Boilers
Permit Application AP-03-boilers.pdf
Compliance Certification AC-03-boilers.pdf
Gasoline Tanks
Permit Application AP-04-gastanks.pdf
Compliance Certification AC-04-gastanks.pdf
Degreasers
Permit Application AP-05-degreasers.pdf
Compliance Certification AC-05-degreasers.pdf