FARMER / Carl Moyer Annual Report
Please complete this form to report your equipment use for the preceeding calendar year.
Start
Locate your funding agreement to identify your project number. Your project number can be found on the title page; page footers; or Attachment A. If you are having trouble with your project number please call us at (707) 433-5911.
Enter your permit number in the field below, and then select "Start Reporting."
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Project Information
This is the project information that we have on file per your funding agreement. Please revise outdated or missing information.
Company
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Business or name of grantee.
Facility
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Facility or farm name.
Company Contact
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Name of Responsible Designee.
Contact Address
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Address of Responsible Designee
Contact Phone
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Phone number of Responsible Designee.
Grant-funded Equipment
Please report the annual usage for the following equipment:
Year
Year of equipment per funding agreement.
Make
Make of equipment per funding agreement.
Model
Model of equipment per funding agreement.
Serial Number
Serial number or VIN of funded equipment.
Report Annual Usage
Report in units of "gallons" for trucks and "hours" for other equipment with hour meter (eg: tractors, forklifts, loaders, EUTV, etc.).
Reporting Year
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Please Select
2024
2025
Calendar year of reporting.
Annual Use
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Report annual usage for the reporting calendar year.
Reporting Units
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Operational and Other Comments (Optional)
Please provide information if necessary, including explanation for low or no operation, relocation of equipment, or change in ownership.
Reporting Obligations for Your Project
For refererence: the project life, the year reporting concludes, and your target annual usage:
Project Life:
Years of project life per funding agreement.
Reporting Concludes:
Year reporting concludes per funding agreement.
Target Usage
Annual target hours based on state guidance and initial project application to meet cost effectiveness.
Certify
Attestation 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: