Annual Diesel Engine Report
Please complete this form to report your diesel engine's total hours of operation for the calendar reporting year.
Start
Locate your air quality permit to identify your permit number. Your permit number is located on the title page; near the signature block; or in the document footer. If you are having trouble with your permit number, please call us at (707) 433-5911.
Next, enter your permit number in the format xx-xx or xx-xxx in the field below, and then select "Start Reporting."
*
Facility
This is the information we have on file for your facility. If information is missing or needs to be revised, please update it accordingly.
Company
*
Company name on permit.
Facility
*
Facility name on permit.
Address
*
Address where engine is operated.
Location
*
City/town where engine is operated.
Point of Contact
This is the information we have on file for your point of contact. If information is missing or needs to be revised, please update it accordingly.
Company Contact
*
Name of Responsible Designee.
Contact Email
*
Email of Responsible Designee.
Contact Address
*
Mailing address of Responsible Designee.
Contact Phone
*
Phone Number of Responsible Desgnee.
Report Engine Use
Please report annual hours of operation for the reporting calendar year. Include Emergency hours for emergency generator use during an emergency (loss of line power) if applicable:
Reporting Year
*
Please Select
2023
2024
2025
Calendar year reported for this report.
Hours
*
Total hours of operation and maintenance for the calendar year.
Emergency Hours
*
Total hours of emergency operation.
Comments
Optional - Please note any relevant comments or concerns.
Certify
Sign to certify that the information provided in this document is true, complete, and accurate to the best of your knowledge and belief. After the signature process, a PDF copy of this report will be sent to your email for your records.
Finish
A signature certification is required. After signing, select "Finish" below to submit your report to the Air District.
Finish
Should be Empty: