Fillable Form NOx/SOx-1: Pollutant: NOx or SOx Quarterly** Monthly (SCAQMD)

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Form NOx/SOx-1: Pollutant: NOx or SOx Quarterly** Monthly (SCAQMD)

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The Form NOx/SOx-1: Pollutant: NOx or SOx Quarterly** Monthly (SCAQMD) form is 1 page long and contains:

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File type: PDF

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Tel: (909) 396-3119
www.aqmd.gov
Mail To:
SCAQMD, RECLAIM Administration
P.O. Box 4830
Diamond Bar, CA 91765-0830
South Coast Air Quality Management District, Form NOx/SOx-1 (2014.07)
Page of
South Coast Air Quality Management District
Form NOx/SOx-1
Regional Clean Air Incentives Market (RECLAIM)
Monitoring, Reporting, and Recordkeeping (MRR) Form
Reported Data***
Fuel Meter and/or Timer
(I.D. #)
Device*
(I.D. #)
Check If
Quarterly**
Equipment Specific
Monthly Emissions
(LBS/MO or LBS/QTR)
Recorded Data
Facility Name: Facility I.D. #:
Month:
Year:
(If known)
Reported By
Title Phone # Ext. Date
(Signature) (Print or Type Name)
(Print or Type Title)
* For equipment exempt under Rule 219, please indicate with “R219”.
** Check if reporting quarterly emissions for process unit or Rule 219 equipment.
*** Monthly emissions calculated from Form NOx/SOx-2 or NOx/SOx-5; Quarterly emissions calculated from Form
NOx/SOx-3, NOx/SOx-4, or NOx/SOx-5.
Pollutant: NOx or SOx
(Identify one pollutant only)
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
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Form NOxSOx-1: Pollutant: NOx or SOx Quarterly** Monthly (SCAQMD)

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Completed 12 August 2020

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