Colusa County, CA · Colusa County
Degreasers/Solvent Use Annual Survey Form
This annual survey form collects company and equipment information from businesses reporting degreaser and solvent use to the county Air Pollution Control District.
At a glance
- Issued by
- City of Colusa County · Colusa County, Colusa County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- countyofcolusaca.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form is an Air Pollution Control District annual survey for reporting degreaser and solvent use. It asks for company and contact details, the calendar year and operating schedule, equipment and pollution controls, solvents and quantities used, types of articles cleaned, drying methods, and solvent disposal methods.
Who needs it
Businesses with degreasers or solvent use at a site can use this form to report company, operating, equipment, and solvent information.
How to submit it
Submit it to the county office named on the form; check the county website for current contact details and submission instructions.
About notarization
This survey has no notary block; the signer just signs and dates it, and the document lists no sworn or notarized attachment.
How to submit this form
- 1
Download the Survey
Download the Degreasers/Solvent Use Annual Survey Form.
- 2
Complete the Company Details
Enter company and contact information, the calendar year, and the operating schedule.
- 3
Report Equipment and Solvent Use
List equipment, pollution controls, solvents and quantities, articles cleaned, drying methods, and solvent disposal methods.
- 4
Add Any Comments
Use the back of the form for additional comments or clarification.
- 5
Submit to the County
Submit the completed survey to the county office named on the form; check the county website for current contact details.
Frequently asked questions
- What information does the Degreasers/Solvent Use survey request?
- It requests company and contact details, operating hours, equipment and pollution controls, solvents and quantities used, types of articles cleaned, drying methods, and solvent disposal methods.
- Who uses this Colusa County survey form?
- Businesses reporting degreaser or solvent use can provide information about their company, site operations, equipment, and solvents on this Air Pollution Control District annual survey.
- Do I need a notary for the Degreasers/Solvent Use survey?
- No. This document has no notary block and lists no sworn or notarized attachment; the signer just signs and dates it.
- How do I submit the Degreasers/Solvent Use survey?
- The document does not give submission instructions. Submit it to the county office named on the form, and check the county website for current contact details and instructions.