Who uses this annual survey?

Companies operating gasoline retail stations or private refueling sites can use it to report the requested information for a calendar year.

Do I need a notary for the Gasoline Retail Station/Private Refueling survey?

No. The survey has no notarized attachment or sworn step; the signer just signs and dates it.

How do I submit the Gasoline Retail Station/Private Refueling survey?

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

Colusa County, CA · Colusa County

No notary required

Gasoline Retail Station/Private Refueling Annual Survey

Gasoline retail station and private refueling operators use this Air Pollution Control District survey to report company details, operating schedules, equipment, and gasoline sales.

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

This annual survey collects information about a gasoline retail station or private refueling operation for the calendar year reported. It asks for company and contact details, operating hours, equipment and pollution controls, gasoline sales throughput, tank details, vapor recovery types, and fuel delivery information. The document identifies itself as an Air Pollution Control District survey but does not state when it must be submitted.

Who needs it

Companies operating gasoline retail stations or private refueling sites can use this survey to report their annual operating and equipment information.

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 survey is completed without a notary; it requests no notarized attachment or sworn step, so the signer just signs and dates it.

How to submit this form

1
Download the Survey
Download the Gasoline Retail Station/Private Refueling Annual Survey.
2
Complete Company Details
Provide the company name, location, mailing address, contact information, and calendar year reported.
3
Report Operations and Equipment
Fill in operating hours, equipment and controls, gasoline sales, tank details, vapor recovery types, and delivery information.
4
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 Gasoline Retail Station/Private Refueling survey request?: It requests company and contact details, operating schedules, equipment and pollution controls, gasoline sales throughput, tank information, vapor recovery types, and fuel delivery details.
Who uses this annual survey?: Companies operating gasoline retail stations or private refueling sites can use it to report the requested information for a calendar year.
Do I need a notary for the Gasoline Retail Station/Private Refueling survey?: No. The survey has no notarized attachment or sworn step; the signer just signs and dates it.
How do I submit the Gasoline Retail Station/Private Refueling survey?: Submit it to the county office named on the form. The document does not provide submission contact details, so check the county website for current information.

Need something notarized?

This Gasoline Retail Station/Private Refueling Annual Survey doesn’t need a notary, but if you have another Colusa County form that does, a commissioned online notary can help.