Fillable South Coast Air Quality Management District (SCAQMD)

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South Coast Air Quality Management District (SCAQMD)

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The South Coast Air Quality Management District (SCAQMD) form is 4 pages long and contains:

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South Coast Air Quality Management District
NON-EMISSIONS-RELATED ENFORCEMENT DISCRETION REQUEST
For Regulated Entities Impacted by COVID-19
1. Type of relief:
South Coast AQMD Rule or Permit Condition Source Tests or Calibrations
Equipment Installations/Upgrades Routine Reports or Plan Submittals
Other: ____________________________________________________________________________
2. IS YOUR OPERATION PART OF AN ESSENTIAL CRITICAL INFRASTRUCTURE SECTOR (as defined in
Executive Order N-33-20)?
YES (describe below) NO (skip to question #3)
IF YES, PLEASE SPECIFY SECTOR:
______________________________________________________________________________
3. DOES YOUR OPERATION SUPPORT AN ESSENTIAL CRITICAL INFRASTRUCTURE SECTOR?
YES (describe below)
NO
IF YES, PLEASE SPECIFY THE SECTOR THAT YOU SUPPORT:
______________________________________________________________________________
4. RECLAIM Program?
Yes No / Title V Permit? Yes No
Facilit
y
Information
Facility Name: Facility ID:
Facility
Address:
Contact Name: Title:
Contact Phone
Number:
Contact
Email:
PAGE 2 OF 4
5. List all South Coast AQMD rule(s), permit condition(s), and/or othe
r requirement(s) that cannot be fully or
timely met, including indicating the specific section(s) and subsection(s) of any rule, condition, or other
requirement. Briefly explain how you are or will be in violation of each rule, condition, or requirement.
Requiremen
t
Explanation
6. What is the date that you are requesting the enforcement discretion to begin? _________________________
What is the date that you expect to achieve full compliance? _____________________________________
7. EXPLANATION: Provide a succinct but complete and verifiable explanation of:
(a) why full or timely compliance
is not possible due to COVID-19 and/or any related public health directives or guidance, and (b) efforts already
made to date to comply.
8. Briefly descri
be the type of business and processes at your facility or site.
PAGE 3 OF 4
9. List the equipment and/or any activity that is the subj
ect of this petition. Attach copies of any Permit to
Construct and/or Permit to Operate for the subject equipment. For RECLAIM or Title V facilities, attach
only the relevant sections of the Facility Permit showing the equipment or process and conditions that
are subject to this petition.
Equipment/Activity Application/
Permit No.
RECLAIM
Device No.
Date
Application/Plan
Denied
(
if relevant
)
*
*Attach copy of denial letter
10. When and how did you first become aware that you were not or would not be in compliance with the rule(s),
permit condition(s), and/or other requirement(s)? Identify specific event(s) and date(s) as appropriate.
11. List date(s) and action(s) you have taken since that time to achieve compliance.
PAGE 4 OF 4
12. Briefly describe any action you will take in the future in lieu of full and timely compliance to fulfill the rule,
permit, and/or other requirements as nearly as possible.
Pursuant to the Public Records Act, part or all of this document may be subject to public disclosure
unless the company claims that the information contained within is “proprietary,” “confidential,” or a “trade
secret.”
If this document contains or references any information that is “proprietary,” “confidential,” or a “trade
secret,” please indicate it in the text above or include that information in a separate attachment
designated accordingly.
Responsible Facilit
y
Official
Signature: Date:
Print Name: Title:
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South Coast Air Quality Management District (SCAQMD)

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Completed 15 May 2022

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