Annual Gasoline Throughput Report
Please complete this form to report your gas station's total gasoline throughput for the preceeding calndar year.
Start
Locate your permit and identify your permit number. The permit number is typically found on the first page; under the signature block on the last page; or in the document footer. If you are having trouble with your permit number, please call us at (707) 433-5911.
Enter your permit number in the format xx-xx or xx-xxx in the field below, and then select "Start Reporting."
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Facility
This is the information we have on file for your facility. If this information needs to be updated or is blank, please update it accordingly.
Company
*
Company name on permit.
Facility
*
Facility name on permit.
Address
*
Address of gas station.
Location
*
City or Town were gas station is located.
Point of Contact
This is the information we have on file for your primary point of contact. If this information needs to be revised or is blank, please update it accordingly.
Company Contact
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Name of Responsible Designee.
Contact Email
*
Email of Responsible Designee.
Contact Phone
*
Phone Number of Responsible Desgnee.
Report
Annual gasoline throughput (sales) for the reporting calendar year. Do not include diesel fuels or kerosene.
Reporting Year
*
Please Select
2023
2024
2025
Calendar year reported for this report.
Total Annual Gasoline Sold (gallons)
*
Total gallons for the calendar year.
Comments (optional)
Please note if you have any comments or concerns.
Certification
I certify that the information provided in this document is true, complete, and accurate to the best of my knowledge and belief.
The signature process begins by providing your email and then you will be prompted to sign or type your signature. Afterwards, you will receive a copy of this signed report to your email account.
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Final Step
After the signature process is complete, select "Finish" to transmit your report to the Air District.
Finish
Should be Empty: