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South Coast Air Quality Management District Mail To: SCALED P.O. Box 4944 Diamond Bar, CA 91765-0944 Form 400-E-12 Gas Turbine Tel: (909) 396-3385 www.aqmd.gov This form must be accompanied by a completed
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How to Fill Out AQMD Form 400-E-12:

01
Start by carefully reading the instructions provided with the form. This will help you understand the purpose of the form and the specific information needed.
02
Begin by entering your personal information in the designated fields. This may include your name, contact information, and any other required details.
03
Move on to the section where you need to provide information about your business or organization. Fill in the necessary fields such as the name of the company, address, and any other relevant details.
04
The form may require you to provide specific information related to your industry or operation. Take your time to gather these details and include them accurately in the form. This may include information about the type of equipment or processes involved, emissions data, or compliance measures.
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Some sections of the form may require attachments or supporting documents. Ensure that you have them prepared in advance and attach them as required, making sure they are labeled correctly.
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Double-check all the information you have entered to ensure accuracy. It's essential to review each section carefully and correct any errors or omissions before submitting the form.
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Once you have completed the form, sign and date it as indicated. This confirms your responsibility for the information provided and completes the filling-out process.

Who Needs AQMD Form 400-E-12?

01
Industries and businesses operating within the jurisdiction of the South Coast Air Quality Management District (AQMD) may require completing AQMD Form 400-E-12.
02
This form is typically required for facilities that have equipment or processes that emit air pollutants, such as factories, power plants, refineries, or other industrial operations.
03
The purpose of the form is to collect data and information necessary for the AQMD to assess compliance with air quality regulations and support the development of air pollution control programs.
04
Different types of facilities may have different reporting requirements or frequencies, so it's crucial to consult with the AQMD or refer to the specific instructions provided with the form to determine if your facility needs to complete AQMD Form 400-E-12.
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AQMD Form 400-E-12 is a form used for reporting emissions data to the South Coast Air Quality Management District (AQMD).
Facilities that are required to obtain a permit from AQMD and have specific emissions thresholds are required to file AQMD Form 400-E-12.
AQMD Form 400-E-12 must be filled out with accurate emissions data for each pollutant emitted by the facility during the reporting period.
The purpose of AQMD Form 400-E-12 is to track and regulate emissions of pollutants in order to improve air quality in the South Coast Air Basin.
Facilities must report detailed emissions data for each pollutant, including total emissions, emissions control methods used, and any deviations from permitted levels.
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