Fillable Form used to calculate emissions and to be (SCAQMD)

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Form used to calculate emissions and to be (SCAQMD)

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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-2 (2014.07)
Page of
South Coast Air Quality Management District
Form NOx/SOx-2
Regional Clean Air Incentives Market (RECLAIM)
Recordkeeping Form for Major and Large Sources
Form used to calculate emissions and to be kept at the Facility. Use Form NOx/SOx - 1 to report monthly emissions to the AQMD.
Facility Name: Facility I.D. #:
Month:
Year:
(If known)
Reported By
Title Phone # Ext. Date
(Signature) (Print or Type Name)
(Print or Type Title)
(A) (B) (D) (E)* (F) (G)
Fuel Meter
(I.D. #)
Device
(I.D. #)
Final
Reading
(a)
Initial
Reading
(b)
Fuel
Consumed
(c) = (a-b)
Units
(MMSCF,
MGAL, or
**LBS/MONTH)
Fuel
Type
Associated
Emission
Factor
Equipment-Specific
Monthly Emissions
(LBS/MONTH)
(c)x(F)
(C)
Recorded Data
Fuel Consumption (per month)
* 1 - Natural Gas only 5 - Gasoline 8 - Wood 12 - Diesel
2 - Oil only 6 - Natural Gas - LPG 9 - Coal 13 - Other Fuel
3 - Natural Gas - Distillate Oil 7 - Process Gas - 10 - Methanol
4 - Natural Gas - Residual Oil (includes Refinery Gas) 11 - Natural Gas - Methanol
** Units in LBS/MONTH refer to solid fuels only.
Pollutant: NOx or SOx
(Identify one pollutant only)
C
C
C
C
C
C
C
C
C
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Form used to calculate emissions and to be (SCAQMD)

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Completed 12 August 2020

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