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Bay Area Air Quality Management District
Form FIU
375 Beale Street, Suite 600 San Francisco, CA 94105
Facility Information Update
Engineering Division
(415) 749-4990
Changes to Ownership, Contact, Closures
www.baaqmd.gov
Fax:
(415) 749-5030
Page 1 of 2
Form FIU revised 4/12/16
Facility Information Update Form
When Do I Use
This Form?
Use this form to do any of the actions listed in the table below (check the actions that apply).
Note: Whether you change business name, transfer ownership, or update facility information, the permitted
equipment must continue to be operated at the same location.
You can…
Important Notes
Update business
name
Business Name is the name used to conduct business. It may be the name of an individual,
partnership, company, corporation, other entity, or it may be a fictitious name as filed with the county
clerk.
Update dealer’s
name (for gas
stations only)
Dealer of a gas station is the individual, partnership, limited liability company, corporation, or other
entity that pays the day-to-day costs of running the station. However, they may not be contractually
responsible for maintaining the permit to operate.
Transfer
ownership
Transfer of Ownership is a transfer of all permitted sources (full transfer) or just some of the
permitted sources (partial transfer) at the current location to a new owner.
Owner is the individual, partnership, limited liability company, corporation, or other entity that owns
or controls the permitted equipment and is responsible for the permit to operate. If no fictitious name
is used, the owner can be the same name as the business name above.
Update facility
contact
information
All correspondence from the BAAQMD (Data Update Forms, Reminder Letters, Renewal
Invoices and copies of renewed Permits to Operate) will be directed to this address.
For gas stations, the term “facility contact information” = the term “billing contact information.”
Note that original Permits to Operate will always be sent to either the facility’s physical address or
the alternative mailing address.
Update alternative
mailing address
(not for gas
stations)
Alternative mailing address:
Cannot be used by gas stations
Should only be provided if the mail can not be delivered to the site’s physical address, and
Will be used to mail renewed Permits to Operate if mail can not be received at the physical
location of the facility.
Close facility
Closing facility means you are ceasing permanently all your operations or dismantling all of your
sources and are requesting cancellation of all your Permits to Operate.
How Do I
Complete This
Form?
Step 1) Provide the following information:
Action
Required Information
Provide current District ID number for the facility
(plant #, site #, or G # as it appears on the Permit to
Operate or invoice) and circle the type of ID you
provide.
Plant# / Site # / G# (gas stations):
Provide current business name (as it appears on the
Permit to Operate or invoice).
Current
Business Name:
Provide physical address of your facility or permitted
equipment.
Street # & Name:
City:
State:
Zip:
Phone:
( ) -
Provide your name, title, email address, and the date
when you complete this form.
First and Last Name:
Title:
Date:
Email:
Step 2) Find sections below that are applicable to you and follow the instructions within these sections.
Step 3) Mail this form to: BAAQMD, 375 Beale St., Ste 600, San Francisco, CA 94105, ATTN: Permit Systems Section.
Changing
Business Name
If you need to change/correct your business name as it appears on your permit, perform the action in the table below.
Action
Required Information
Provide new business name as it should
appear on the Permit to Operate. (Gas
Stations should include name on the sign
or “brand” of the station if applicable.)
New
Business Name:
Bay Area Air Quality Management District
Form FIU
375 Beale Street, Suite 600 San Francisco, CA 94105
Facility Information Update
Engineering Division
(415) 749-4990
Changes to Ownership, Contact, Closures
www.baaqmd.gov
Fax:
(415) 749-5030
Page 2 of 2
Form FIU revised 4/12/16
Updating
Dealer’s Name
If you need to change/correct the dealer’s name, perform the action in the table below.
Action
Required Information
If different from owner, provide the name
of the new dealer at the gas station.
New Dealer’s Name:
Transferring
Ownership
If you need to update ownership records, follow the steps in the table below.
Step
Action
Required Information
1
Provide name of new owner (individual, company or
corporation) and, if the new owner is an individual,
provide his/her title.
New Owner’s Name:
Title (if applicable):
2
Provide name of previous owner (individual,
company or corporation) and, if the previous owner
is an individual, provide his/her title.
Previous Owner’s Name:
Title (if applicable):
3
Indicate whether the transfer of ownership is full (all
the permitted sources are transferred to the new
owner) or partial (only some permitted sources are
transferred to the new owner).
If the transfer is partial, list all of the transferred
sources and abatement devices or attach this list.
Note: The BAAQMD will review your request for
partial transfers and may require additional
explanation.
Full Transfer
Partial Transfer
Transferred Sources/Abatement Devices (for partial transfers):
4
Provide the effective date of the transfer.
Effective Transfer Date:
Updating
Facility Contact
Information
If you need to update the facility contact information (also known as billing contact information for gas stations),
follow the steps in the table below.
Step
Action
Required Information
1
If applicable, provide name of
new contact and the title of that
person’s position.
New Contact Name:
Title (if applicable):
2
If applicable, provide new contact
information for the plant contact.
Street # & Name:
City:
State:
Zip:
Phone:
( ) -
Email:
Updating
Alternative
Mailing Address
If you need to update facility mailing address (and your facility is NOT a gas station), perform the action in the table.
Action
Required Information
Provide new mailing address for your
facility.
Street # & Name:
City:
State:
Zip:
Closing Facility
If you are closing all of your sources, follow the steps in the table below.
Step
Action
Required Information
1
Indicate whether all of your
permitted sources are ceased or
dismantled.
All permitted sources have ceased operation only.
All permitted sources have been dismantled and require rebuild to operate.
2
Provide the end date of operation
or date of dismantlement.
Closing Date:
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Completed 18 April 2020

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