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 QCE-1 (2014.07)
Page of
South Coast Air Quality Management District
Form QCE-1
Corrections To Monthly Reported Emissions
(Major and Large Sources)
And Quarterly Reported Emissions
(Process Units and Equipment Exempt Under Rule 219)
(b)
Fuel
Meter
(I.D. #)
Device
(I.D. #)
Corrected
Emissions
(LBS/MO or
QTR)
Month
Check If
Quarterly
Reason For *
Correction
(Use one of the
codes below)
(a)
Previously
Reported
Emissions
(LBS/MO or
QTR)
Facility Name: Facility I.D. #:
Quarter Ending:
Year:
(If known)
Reported By
Title Phone # Ext. Date
(Signature) (Print or Type Name)
(Print or Type Title)
* Codes:
“1” Data entry error.
“2” Missing data procedures were not followed.
Note: Attach a separate statement for each device corrected explaining the justification for the change.
Month Year
Attach a separate form if more than one pollutant and/or more entries are needed.
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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