Fillable Exempt Source List Title V

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Exempt Source List Title V

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C:\Users\ssunny\AppData\Local\Microsoft\Windows\INetCache\IE\YMPJAC6X\exempt_source_list_word.doc
Engineering Division
Bay Area Air Quality Management District
375 Beale Street, Ste# 600, San Francisco, CA 94105
415-749-4990
Major Facility Review
Exempt Source List
FACILITY NAME:
FACILITY #:
SOURCE #
(if any)
SOURCE DESCRIPTION
(or name)
BASIS FOR EXEMPTION
EMISSIONS
REPORTED
(Y/N)
Date
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Exempt Source List Title V

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Completed 19 April 2020

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