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Blank Forms for Reporting 2015 Emissions

You can print these sample forms using the "Print" function on your browser. Some forms may require you to change your printer format from "portrait" to "landscape".

Note: All of the following documents are in Acrobat PDF formatThis link opens a new page containing an Adobe Acrobat PDF document..

Blank forms that can be printed out and completed manually.

Do you need to complete an annual emissions inventory report?


Didn’t get one in the mail this year? We may not have requested one from you.

Contact us at EmissionsInventory@mail.maricopa.gov
or (602)506-6790 with your permit number prior to completing these forms

Business Form

Control Device Form

Stack Form

General Process Form

Evaporative Process Form

Off-Site Recycling/Disposal Form

Emission Factor Calculation Form

Data Certification Form for non-Title V Sources


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