Pinal County, AZ · Pinal County
Emissions Inventory Form
Pinal County facilities use this form to report annual emissions and provide facility, equipment, process, and pollutant information when requested by the Air Quality Control District.
At a glance
- Issued by
- City of Pinal County · Pinal County, Pinal County, Arizona
- Notarization
- Not required: file this form without a notary.
- Official source
- pinal.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
This form reports a facility’s annual emissions to the Pinal County Air Quality Control District. It asks for facility details, emissions totals, stack and equipment information, process data, pollutant estimates, and sample calculations. The file title says to submit it only if requested by the District; the responsible official certifies the information as true, accurate, and complete.
Who needs it
A facility should complete this form when the Pinal County Air Quality Control District requests its annual emissions inventory.
How to submit it
Return the original copy of all completed forms to Pinal County Air Quality Control District, P.O. Box 987, Florence, AZ 85132. Submit only if requested by the District.
About notarization
This form is signed and dated by the responsible official without a notary; the signer certifies the information is true, accurate, and complete.
How to submit this form
- 1
Download the Form
Download the Emissions Inventory Form from this page.
- 2
Complete the Sections
Enter the requested facility, emissions, stack, equipment, process, and pollutant information.
- 3
Gather Attachments
Include any attachments that support the inventory information; the certification covers information on the form and its attachments.
- 4
Return the Original
If requested by the District, return the original completed forms to Pinal County Air Quality Control District in Florence.
Frequently asked questions
- Do I need a notary for the Emissions Inventory Form?
- No. The responsible official signs and dates the form without a notary and certifies that the information is true, accurate, and complete.
- How do I submit the Emissions Inventory Form?
- Submit it only if requested by the District. Return the original completed forms to Pinal County Air Quality Control District, P.O. Box 987, Florence, AZ 85132.
- What information does the form request?
- It asks for facility identification, emissions totals, stack and equipment details, process information, pollutant estimates, and sample calculations.