Colusa County, CA · Colusa County

No notary required

Air Pollution Control District Annual Survey Form for Dry Cleaners

Dry cleaning businesses use this annual survey form to report operating schedules, equipment, solvents, cleaning quantities, and disposal practices to the county.

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

This annual survey collects information about a dry cleaning company’s operations, equipment, solvents, and pollution controls at its site. The form asks for the calendar year reported, operating hours, equipment counts, solvent use, quantities of materials cleaned, disposal methods, and exhaust airflow. The document does not state when the county requires the survey or provide submission instructions.

Who needs it

Dry cleaning companies reporting annual operating, equipment, solvent, and cleaning information for a site in Colusa County need this form.

How to submit it

Submit it to the county department named on the form; check the county website for current contact details.

About notarization

This document is signed without a notary; it includes no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download the Survey

    Download the Air Pollution Control District Annual Survey Form for Dry Cleaners.

  2. 2

    Complete the Company Details

    Enter the company name, location, mailing address, contact information, and calendar year reported.

  3. 3

    Report Operations and Equipment

    Complete the operating schedule, equipment, pollution-control, solvent, cleaning-quantity, disposal, and airflow sections.

  4. 4

    Submit to the County

    Submit the completed form to the county department named on it; check the county website for current contact details.

Frequently asked questions

What information does the dry cleaners survey request?
It asks about the reporting year, operating schedule, equipment, pollution controls, solvents, amounts of material cleaned, solvent or filter disposal, and exhaust airflow.
Who uses the Colusa County dry cleaners survey?
Dry cleaning companies use the form to report information about their operations and equipment at a site, including solvent use and material-cleaning quantities.
Do I need a notary for the Dry Cleaners Annual Survey?
No. This document is signed without a notary; it includes no notarized or sworn attachment, so the signer just signs and dates it.
How do I submit the dry cleaners survey?
The form does not provide submission instructions. Submit it to the county department named on the form and check the county website for current contact details.

Need something notarized?

This Air Pollution Control District Annual Survey Form for Dry Cleaners doesn’t need a notary, but if you have another Colusa County form that does, a commissioned online notary can help.