Skip Navigation
County of San Diego

Forms and Applicationsfor ATCM (17 CCR ยง93115)

Compliance Assistance Fact Sheet

Failure to submit the information required by either of these forms is a violation of the ATCM requirements.  Businesses may create their own reporting forms provided the forms contain all the information specified in Subsection (e)(4) of the ATCM.

Forms are in both Adobe Acrobat Portable Document Format (PDF) and Word Interactive Format.  Download the free a Adobe Acrobat Reader version suitable for your system to read and print a PDF document.  If you are not able to read Word documents with your current software click HERE to download the correct Word Viewer for your system.  Word Interactive forms can be filled in, saved, and printed from the web site.

Engine
Data Report Form

Word

PDF

Compliance
Strategy Reporting Form

Word

PDF

Instructions
for Completing the Compliance
Strategy Reporting Form

 

PDF

Forms may be sent to John Annicchiarico by e-mail at John.Annicchiarico@sdcounty.ca.gov,faxed to (858) 586-2801 Attn:John Annicchiarico, or mailed to the APCD, Attn:John Annicchiarico 10124 Old Grove Road, San Diego, CA. 92131.
If you need assistance completing the forms contact Kevin
Heiss at (858) 586-2656 or by email at Kevin.Heiss@sdcounty.ca.gov

The District will require some in-use engine owners or operators to submit an application (Forms APP116 and 34A-J) to modify their permit or registration to verify compliance with the stationary diesel engine ATCM.

Guidelines for Existing Permits for Compliance with ATCM

General Application (APP116)

Supplemental Application (34A-J)

Read Guidelines for Applications to learn how to submit your
application and reporting form by e-mail.

If you need further assistance, or have questions, please contact
Cara Bandera at (858)586-2751 or by email at
Cara.Bandera@sdcounty.ca.gov or Kevin Heiss at (858) 586-2656 or by email at Kevin.Heiss@sdcounty.ca.gov.




Increase Font Size Decrease Font Size