OFFICE LOCATION:
Butte County Air Quality Management District
629 Entler Avenue, Suite 15
Chico, CA 95928
(530) 332-9400

The following generic forms can help you complete the reporting requirements of your Permit to Operate.  Every facility with an air permit must submit a Facility Questionnaire (Form 250) and the production data as required in the permit's Recordkeeping Conditions before January 31 of each year.  Alternatively, you may submit a signed document containing the requested information.  Please contact the District if you have additional questions.

Production Data Forms for Stationary Sources

 250 Facility Questionnaire  269 Coating Operations
 252 Drycleaning Operation Non-Perc  270 Powdercoating Operations
 253 Drycleaning Operations Perc   271  Abrasive Blasting Booth
 254 Drycleaner Annual Report  272 Architectural Coatings Manufacturing
 255 Drycleaner Weekly Leak Inspection Checklist  273 Newspaper Printing Operations 
 256 Drycleaner Operations & Maintenance    Checklist  274 Aggregate Crushing & Screening
 257 Drycleaner Monthly Cleaning Log  275 Concrete Batching Operation
 258 Drycleaning Service Repair Log  276 Asphalt Production
 259 GDF - Non Retail  277 Misc Materials Processing
 260 GDF - Retail   278 Hulling, Shelling, Drying, Cleaning,  Sorting 
 261 GDF - Bulk Petroleum Operations  279 Rice Cleaning, Drying & Storage 
 262 ICE - Prime  280 Bulk Fertilizer Storage Operations 
 263 ICE - Emergency Backup  281 Soil Remediation 
 264 Boiler - Steam Generator - Heater  282 Wastewater Treatment 
 265 Microturbine  283 Crematory
 266 Space Heater  284 Organic Liquids Storage 
 267 Furnaces  285 Medical Equipment Sterilization 
 268 Wood Processing  286 Fluid Evaporator 
287 Silica Processing 288 Remediation Equipment
    289 Thermal Spraying Operations