What information does the Gasoline Bulk Plant Annual Survey collect?

It asks for company and contact details, operating hours, equipment and pollution controls, gasoline sales throughput, tank and vapor recovery information, delivery trucks, customer percentages, and suppliers.

Who completes this gasoline bulk plant survey?

The form is for a company reporting information for the gasoline bulk plant source type. It asks about the company's operations and equipment at the site.

How do I submit the Gasoline Bulk Plant Annual Survey?

Submit it to the county office named on the form. The form does not provide submission contact details, so check the county website for current information.

Do I need a notary for the Gasoline Bulk Plant Annual Survey?

No. This form has no notary block; the signer just signs and dates it.

Colusa County, CA · Colusa County

No notary required

Gasoline Bulk Plant Annual Survey Form

This annual survey form collects operating, equipment, gasoline sales, tank, vapor recovery, delivery, and supplier details from gasoline bulk plant companies.

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: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

The Air Pollution Control District Annual Survey Form records information for the gasoline bulk plant source type. It asks for company and contact details, the calendar year reported, operating hours, equipment and pollution controls, gasoline throughput, tank and vapor recovery details, delivery trucks, customer percentages, and suppliers. Use the back of the form for additional comments or clarification.

Who needs it

A company reporting annual information for a gasoline bulk plant should complete the survey with details about its operations and equipment at the site.

How to submit it

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

About notarization

This document is signed without a notary; the form asks for company information and the signer just signs and dates it.

How to submit this form

1
Download the Survey
Download the Gasoline Bulk Plant Annual Survey Form PDF.
2
Complete Company Details
Enter the company name, location, mailing address, contact information, and calendar year reported.
3
Provide Operating Information
Complete the questions about operating hours, equipment, pollution controls, gasoline sales, tanks, deliveries, customers, and suppliers.
4
Submit to the County
Submit the completed form to the county office named on the form; check the county website for current contact details.

Frequently asked questions

What information does the Gasoline Bulk Plant Annual Survey collect?: It asks for company and contact details, operating hours, equipment and pollution controls, gasoline sales throughput, tank and vapor recovery information, delivery trucks, customer percentages, and suppliers.
Who completes this gasoline bulk plant survey?: The form is for a company reporting information for the gasoline bulk plant source type. It asks about the company's operations and equipment at the site.
How do I submit the Gasoline Bulk Plant Annual Survey?: Submit it to the county office named on the form. The form does not provide submission contact details, so check the county website for current information.
Do I need a notary for the Gasoline Bulk Plant Annual Survey?: No. This form has no notary block; the signer just signs and dates it.

Need something notarized?

This Gasoline Bulk Plant Annual Survey Form doesn’t need a notary, but if you have another Colusa County form that does, a commissioned online notary can help.