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-3 (2014.07)
Page of
South Coast Air Quality Management District
Form NOx/SOx-3
Regional Clean Air Incentives Market (RECLAIM)
Recordkeeping Form for Process Units or Rule 219 Exempt Units With Fuel Meters
Form used to calculate emissions and to be kept at the Facility. Use NOx/SOx-1 (third & final month) and Quarterly Certification of Emissions to report emissions to the AQMD.
Facility Name: Facility I.D. #:
Quarter Begins:
Quarter Ends:
(If known)
Reported By
Title Phone # Ext. Date
(Signature) (Print or Type Name)
(Print or Type Title)
Recorded Data Reported Data
(a) (b) (c) (d) (e) (f) (g)
Fuel Meter*
(I.D. #)
Device*
(I.D. #)
Device
Type
Final
Reading
Initial
Reading
Estimated
Quarterly
Fuel Usage
(MMSCF, MGAL,
LBS/QTR)
(b)-(c)
Fuel
Type
Fuel Heating
Value
(MMBTU/MMSCF
or MGAL/LBS)
Emission Factor
(LB/MMSCF,
LB/MGAL
Or
LB/LB)
Quarterly Emissions
(LBS/QTR)
(d)x(g)
(a) “P” for Process Units, “E” for Rule 219 exempt units, and “S” for fuel meter sharing of the above mentioned equipment.
(b) Units in LBS/QTR refer to solid fuels only.
(e) 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
(f) Units in MMBTU/LB refer to solid fuels only. If necessary, heating value is used to convert the associated emission factors to appropriate units of fuel usage.
* Device I.D. # is not required for equipment exempt under Rule 219.
Pollutant: NOx or SOx
(Identify one pollutant only)
