TITLE V REPORTING REQUIREMENTS
|
|
- Patrick Summers
- 5 years ago
- Views:
Transcription
1 2700 M STREET SUITE 302, BAKERSFIELD, CA PHONE: (661) FAX: (661) TITLE V REPORTING REQUIREMENTS All Title V Permit holders are required by Rule to submit two types of reports. The first, pursuant to Subsection VI.B.7., is a Compliance Monitoring Report required every six months. This report must clearly define all instances of nonconformance with permit requirements. These reports are required to be submitted to the District every six months starting from with date of initial Title V permit issuance. The second is a Compliance Certification. This document, pursuant to Subsection VI.B.14., must certify compliance with requirements contained in TITLE V permits, including emission limits, standards and work practices. This certification shall include identification of each federally-enforceable permit condition and its compliance status. The certification shall also report whether compliance was continuous or intermittent, methods used for determining compliance status, and any other facts required by the District to determine the compliance status of the source. Compliance certification is to be submitted annually to the District and U.S. EPA starting from with the date of initial Title V permit issuance. District Rule requires these reports contain certification the document is true, accurate, and complete by a responsible official. Please use the attached reporting forms. Please mail semi-annual Compliance Monitoring Report and annual Compliance Certification to: Eastern Kern Air Pollution Control District 2700 "M" Street, Suite 302 Bakersfield, CA A copy of the annual Compliance Certification should also be sent to: U.S. EPA Region 9 Air Hawthorne Street San Francisco, CA TLV 02 1 of 7 Revised 10/29/12
2 2700 M STREET SUITE 302, BAKERSFIELD, CA PHONE: (661) FAX: (661) TITLE V COMPLIANCE MONITORING REPORT Reporting Period: through CERTIFICATION: I declare, under penalty of perjury under the laws of the State of California, that, based on information and belief formed after reasonable inquiry, all information provided in this reporting package is true, accurate, and addresses all deviations during the reporting period: Signature of Responsible Official Date Name of Responsible Official (please print) Title of Responsible Official (please print) TLV 02 2 of 7 Revised 10/29/12
3 TITLE V - COMPLIANCE MONITORING REPORT INSTRUCTIONS Please follow these instructions for completing the Compliance Monitoring Report, Table Columns #1 through Column #7, for each occurrence that occurred during reporting period. Column 1: Column 2: Column 3: Column 4: Column 5: Column 6: Column 7: Column 8: PERMIT NUMBER - Reference District permit unit by permit number. The entire permit number including the region, facility, equipment, and modification number must be cited. CITE PERMIT CONDITION NUMBER - To identify each term or condition that contains the monitoring requirement. PARAMETERS MONITORED - Identify parameters monitored e.g., ppm NOx, exhaust temperature /F, etc. PERIOD OF NONCONFORMANCE - Identify all periods of nonconformance by date and time. LIMIT - Identify limit for parameter being monitored, e.g., 30 ppm NOx, 100 /F, etc. ACTUAL - Identify highest actual result for the parameter being monitored for each occurrence, e.g., 35 ppm NOx, 110 /F, etc. DEVIATION OR EXCESS - Identify difference between actual result for parameter being monitored and limit for each occurrence, e.g., +5 ppm NOx, 10 lb NOx, etc. NOTES - This option column may be used to identify any probable cause of nonconformance, corrective action, or preventive measures taken. TLV 02 3 of 7 Revised 10/29/12
4 TITLE V - COMPLIANCE MONITORING REPORT - NONCONFORMANCE OCCURRENCES In numerical order, list all permitted units subject to an applicable monitoring requirement for which nonconformance occurred during reporting period. List monitoring requirements for a permit, each in a separate box, before moving on to the next permit number. Refer to attached instructions for more information. Reporting Period: Through: Facility Location: Page: of COLUMN 1 Permit Unit Number COLUMN 2 Permit Condition # (Specify the Condition # for required monitoring) COLUMN 3 Parameters Monitored (e.g., ppm NOx, exhaust temp. /F) COLUMN 4 Periods of Nonconformance (Dates and Times) COLUMN 5 Limit (e.g., 30 ppm, 10 psi, 25 lb/day, etc.) COLUMN 6 Actual (e.g., 37.2 ppm, 3 psi, 30 lb/day, etc.) COLUMN 7 Deviation or Excess for Period of each Nonconformance (e.g., 7.2 ppm) COLUMN 8 Notes (e.g., cause, corrective action, etc.) TLV 02 4 of 7 Revised 10/29/12
5 2700 M STREET SUITE 302, BAKERSFIELD, CA PHONE: (661) FAX: (661) TITLE V COMPLIANCE CERTIFICATION Reporting Period: through CERTIFICATION: I declare, under penalty of perjury under the laws of the State of California, that, based on information and belief formed after reasonable inquiry, all information provided in this reporting package is true, accurate, and addresses all deviations during the reporting period: Signature of Responsible Official Date Name of Responsible Official (please print) Title of Responsible Official (please print) TLV 02 5 of 7 Revised 10/29/12
6 TITLE V - COMPLIANCE CERTIFICATION INSTRUCTIONS Please follow these instructions for completing the Compliance Certification Table, Columns #1 through Column #5 for requirements for each permitted emissions unit, and any facility-wide requirements. Column 1: Column 2: Column 3: PERMIT NUMBER - Reference District permit by permit number. CITE PERMIT CONDITION NUMBER to identify each permit condition that is the basis of the certification. COMPLIANCE STATUS - Give compliance status of permitted unit with respect to condition. Continuous - If permitted unit has been in full compliance with permit condition for entire certification period, write Continuous in this column. Intermittent - If permitted unit has only been in compliance with permit condition for a portion of certification period, write Intermittent in this column. Not in Compliance - If permitted unit was not in compliance with permit condition during certification period, write Not in Compliance in this column. Column 4: Column 5: METHOD OF DETERMINING COMPLIANCE - Describe how compliance with condition was determined, e.g., opacity measured by U.S. EPA Method 9 weekly, opacity recorded weekly. For monitoring, recordkeeping and reporting requirements, describe monitoring, recordkeeping and reporting practices utilized. NOTES - Include or reference any additional information, e.g., breakdown reports, etc., the District may require for determining compliance status. TLV 02 6 of 7 Revised 10/29/12
7 TITLE V - COMPLIANCE CERTIFICATION In numerical order, list all permitted units subject to an applicable monitoring requirement for which nonconformance occurred during reporting period. List monitoring requirements for a permit, each in a separate box, before moving on to the next permit number. Refer to attached instructions for more information. Reporting Period: Through: Facility Location: Page: of COLUMN 1 Permit Unit Number COLUMN 2 Permit Condition # COLUMN 3 Compliance Status during Period CONTINUOUS ; INTERMITTENT ; OR NOT IN COMPLIANCE COLUMN 4 Method for determining Compliance Status COLUMN 5 Additional Information TLV 02 7 of 7 Revised 10/29/12
San Joaquin Valley Air Pollution Control District
San Joaquin Valley Air Pollution Control District COMPLIANCE ASSISTANCE BULLETIN (Updated August 19, 2009) TITLE V REPORTING REQUIREMENTS Title V Permit holders are required to submit three types of reports.
More informationHEARING BOARD PETITION FOR VARIANCE
EASTERN KERN AIR POLLUTION CONTROL DISTRICT 2700 M STREET SUITE 302, BAKERSFIELD, CA 93301-2370 PHONE: (661) 862-5250 FAX: (661) 862-5251 www.kernair.org HEARING BOARD PETITION FOR VARIANCE NOTICE: Small
More information401 KAR 52:040. State-origin permits.
401 KAR 52:040. State-origin permits. RELATES TO: KRS 224.10-100, 224.20-100, 224.20-110, 224.20-120, 42 U.S.C. 7412, 7429 STATUTORY AUTHORITY: KRS 224.10-100, 224.20-100, 224.20-110, 224.20-120, 42 U.S.C.
More informationSan Joaquin Valley am AIR POLLUTION CONTROL DISTRICT
San Joaquin Valley am AIR POLLUTION CONTROL DISTRICT HEALTHY i E LIVING AUG 15 2014 Mr. Ken Bork Freeport McMoran Oil & Gas 1200 Discovery Drive, Suite 500 Bakersfield, CA 93309 Re: Final - Authority to
More informationCase3:14-cv Document1 Filed09/03/14 Page1 of 8
Case:-cv-0 Document Filed0/0/ Page of 0 SAM HIRSCH Acting Assistant Attorney General Environment and Natural Resources Division MARK SABATH (Mass. Bar No. Senior Attorney Environmental Enforcement Section
More informationPersonal Contributions by Candidates and Officeholders:
Major Donor and 461 Committee Campaign Statement FORM Who Uses Form 461:* Major Donors An individual or entity that makes monetary or nonmonetary contributions (including loans) to state or local officeholders,
More informationCounty of Fresno Office of the District Attorney Lisa A. Smittcamp, District Attorney
County of Fresno Office of the District Attorney Lisa A. Smittcamp, District Attorney REFERRAL COVER SHEET KEEP PAGES 1-4 FOR YOUR RECORDS Guidelines for completing the Real Estate Fraud Referral Form
More informationAPPLICATION FOR JOURNEYMAN CERTIFICATE OF COMPETENCY
APPLICATION FOR JOURNEYMAN CERTIFICATE OF COMPETENCY Lee County Development Services, Attention: Contractor Licensing P.O. Box 398, Fort Myers, Florida 33902 Phone (239) 533-8895 I. Applicant s Name: Certificate
More information2017 Financial Disclosure Report For a Candidate
Salt Lake County Clerk 2001 South State Street, Suite #S1100 Salt Lake City, Utah 84114-4575 Phone# 385-468-8683 Fax# 385-468-7401 2017 Financial Disclosure Report For a Candidate Name Candidate or Officeholder
More informationEntertainment Commission
About the Limited Live Performance Permit Limited Live Performance Permit The purpose of a Limited Live Performance permit (LLP) is to permit live performances in establishments whose primary use is not
More informationAPPROVAL CA (FIFTH REVISION) ISSUED BY THE COMPETENT AUTHORITY OF THE UNITED STATES EXPIRATION DATE: JULY 31, 2022
U.S. Department East Building, PHH 31 of Transportation 1200 New Jersey Avenue, Southeast Pipeline and Hazardous Materials Safety Administration Washington, D.C. 20590 APPROVAL CA2006100009 (FIFTH REVISION)
More informationTyped or printed name ORDER Scheduling hearing to Identify Judgment Debtor s Property
SALT LAKE CITY JUSTICE COURT 333 SOUTH 200 EAST, PO BOX 145499, SALT LAKE CITY, UT 84111 Phone: (801)535-6301 / Fax: (801)535-6302 / www.slcgov.com/courts Plaintiff ) SMALL CLAIMS ) MOTION AND ORDER IN
More informationBEFORE THE OHIO ENVIRONMENTAL PROTECTION AGENCY PREAMBLE I. JURISDICTION II. PARTIES BOUND III. DEFINITIONS IV. FINDINGS
In the Matter of: BEFORE THE OHIO ENVIRONMENTAL PROTECTION AGENCY Cincinnati Drum Service, Inc. : Director s Final Findings 400 Cavett Lane : and Orders Cincinnati, Ohio 45215-3100 : PREAMBLE It is agreed
More informationUNITED STATES OF AMERICA BEFORE THE FEDERAL TRADE COMMISSION. Noah Joshua Phillips Rohit Chopra Rebecca Kelly Slaughter Christine S.
162 3197 UNITED STATES OF AMERICA BEFORE THE FEDERAL TRADE COMMISSION COMMISSIONERS: Joseph J. Simons, Chairman Noah Joshua Phillips Rohit Chopra Rebecca Kelly Slaughter Christine S. Wilson In the Matter
More informationRFP ATTACHMENT I: ACKNOWLEDGEMENT OF RFP TERMS AND CONDITIONS
HOW TO RESPOND TO THIS ATTACHMENT By submitting a Proposal, the Proposer, on behalf of itself and its Partners/Subconsultants acknowledges and agrees that: 1. PROPOSER AUTHORIZATION: The signatories are
More informationSJVUAPCD Governing Board. Seyed Sadredin, Executive Director/APCO Project Coordinator: Tom Jordan
GOVERNING BOARD Oliver L. Baines III, Chair Councilmember, City of Fresno Buddy Mendes, Vice Chair Supervisor, Fresno County David Ayers Mayor, City of Hanford John Capitman, Ph.D. Appointed by Governor
More informationWASTEWATER DISCHARGE PERMIT APPLICATION LAUNDRIES / LAUNDROMATS / DRY CLEANERS
State of Rhode Island and Providence Plantations West Warwick Regional WASTEWATER TREATMENT FACILITY WEST WARWICK, RHODE ISLAND 02893 www.westwarwickri.org Bernard Bishop Superintendent Christine Suvajian
More informationGuide to Submitting Ballot Arguments
City and County of San Francisco Department of Elections Guide to Submitting Ballot Arguments For Local Ballot Measures In the San Francisco Voter Information Pamphlet June 5, 2018 Consolidated Direct
More informationVISA CHECKLIST. All materials must be received by Willamette University on or BEFORE APRIL 21
VISA CHECKLIST All materials must be received by Willamette University on or BEFORE APRIL 21 NOTE: Visa processing takes at least 4-6 weeks after the applications are delivered to the Consulate. Do not
More informationVISA CHECKLIST. All materials must be received by Willamette University on or BEFORE OCTOBER 6!!
VISA CHECKLIST All materials must be received by Willamette University on or BEFORE OCTOBER 6!! NOTE: Do not expect to receive your passport back until mid-december. All deadlines and requirements associated
More informationCHANGE OF ADDRESS FORM. Pursuant to Section IV of the Notice, I hereby wish to change the mailing address on record for the remainder of this matter.
RE: JAVIER MATTER C/O RUST CONSULTING, INC. - 5273 P.O. BOX 2396 FARIBAULT MN 55021-9096 IMPORTANT LEGAL MATERIALS *Barcode39* - UAA
More informationRecipient Committee Campaign Statement Cover Page (Government Code Sections )
Recipient Committee Campaign Statement Cover Page (Government Code Sections 84200-84216.5) 1144436 of election if applicable: (Month, Day, Year) Stamp Page 1 of 6 For Official Use Only COVER PAGE 1. Type
More informationNOTICE OF CLASS ACTION SETTLEMENT
NOTICE OF CLASS ACTION SETTLEMENT UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA ANED LOPEZ AND CRISTIAN ALAS, on Behalf of Themselves and Others Similarly Situated, v. Plaintiffs,
More informationStatement of Eligibility for Transferable Development Rights
APPLICATION PACKET FOR Statement of Eligibility for Transferable Development Rights Planning Department 1650 Mission Street Suite 400 San Francisco, CA 94103-9425 T: 415.558.6378 F: 415.558.6409 This is
More informationLAWYER REFERRAL SERVICE SAN MATEO COUNTY BAR ASSOCIATION 333 BRADFORD STREET, SUITE 200 REDWOOD CITY, CA (650)
LAWYER REFERRAL SERVICE SAN MATEO COUNTY BAR ASSOCIATION 333 BRADFORD STREET, SUITE 200 REDWOOD CITY, CA 94063 (650) 298-4030 Application and Qualification Statement for GENERAL LITIGATION Name: State
More informationRULE 2520 FEDERALLY MANDATED OPERATING PERMITS (Adopted June 15, 1995, Amended June 21, 2001)
RULE 2520 FEDERALLY MANDATED OPERATING PERMITS (Adopted June 15, 1995, Amended June 21, 2001) 1.0 Purpose The purpose of this rule is to provide for the following: 1.1 An administrative mechanism for issuing
More informationBylaws and Constitution
INTERNATIONAL FIRE SERVICE ACCREDITATION CONGRESS Bylaws and Constitution Article 09 April 2017 This document includes Bylaws and Constitution for (Article 09). Bylaws for the IFSAC Council of Governors
More informationCompliance and Enforcement. Instructions
Instructions In accordance with a Departmental Self-Disclosure Policy, a regulated entity may be eligible for a 75 to 100 percent penalty reduction for violations that it discovers, discloses and corrects.
More informationMASSAGE ESTABLISHMENT BUSINESS LICENSE EXPIRATION AND RENEWAL
CITY OF SAN CLEMENTE BUSINESS LICENSE DIVISION 910 Calle Negocio, Suite 100 San Clemente, CA 92673 Phone: (949) 361-6166 Email: businesslicense@san-clemente.org APPLICATION FOR MASSAGE ESTABLISHMENT BUSINESS
More informationCITY OF TUCSON DEPARTMENT OF PROCUREMENT REQUEST FOR PROPOSAL NO
CITY OF TUCSON DEPARTMENT OF PROCUREMENT REQUEST FOR PROPOSAL NO. 171717 REFUSE & RECYCLING CONTAINER SOLUTIONS AND RELATED PRODUCTS, EQUIPMENT & SERVICES AMENDMENT NO. 1 DATE ISSUED: JULY 11, 2017 The
More informationNOTICE OF CLASS ACTION SETTLEMENT
NOTICE OF CLASS ACTION SETTLEMENT UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA ANED LOPEZ AND CRISTIAN ALAS, on Behalf of Themselves and Others Similarly Situated, v. Plaintiffs,
More informationRules and Regulations. Commuter Benefits Ordinance (SF Environment Code Section 427) Rule No. SFE13-01-CBO. Summary
Rules and Regulations Rule No. SFE13-01-CBO Summary San Francisco s requires that all covered employers offer to their covered employees at least one of the following commuter benefits options (also referred
More informationBrewer/Vintner: Address: Contact: Telephone: Website/Facebook Page:
ACADIA'S 24th ANNUAL OKTOBERFEST 2019 Saturday, October 12 Noon to 5pm OPEN Organized by the Southwest Harbor & Tremont Chamber of Commerce At Smuggler's Den Campground in Southwest Harbor, Maine BREWER/VINTNER
More informationSan Joaquin Valley Air Pollution Control District
San Joaquin Valley Air Pollution Control District GOVERNING BOARD Thomas W. Mayfield, Chair Supervisor, Stanislaus County Mike Maggard, Vice Chair Councilmember, City of Bakersfield Susan B. Anderson Supervisor,
More informationINSTRUCTIONS TO RESPONDENT
For MAA use only: Arbitration Response Date received: INSTRUCTIONS TO RESPONDENT Case No. If you have received an Arbitration Claim form from a claimant and wish to respond, please do the following within
More informationPlease mail your completed application, documentation and required fee(s) to: 2601 Blair Stone Road Tallahassee, Fl
State of Florida Department of Business and Professional Regulation Board of Auctioneers Application for Auction Business Licensure Form # DBPR AU-4155 1 of 7 APPLICATION CHECKLIST IMPORTANT Submit all
More informationCase 3:15-md CRB Document 5280 Filed 08/30/18 Page 1 of 3
Case :-md-0-crb Document 0 Filed 0/0/ Page of 0 XAVIER BECERRA Attorney General of California NICKLAS A. AKERS (SBN ) Senior Assistant Attorney General JUDITH A. FIORENTINI (SBN 0) Supervising Deputy Attorney
More informationPermit issuance, modifications, revisions, revocations, reopenings, and termination.
ACTION: Final DATE: 07/09/2018 10:47 AM 3745-77-08 Permit issuance, modifications, revisions, revocations, reopenings, and termination. [Comment: For dates and availability of non-regulatory government
More informationReporting Requirements for Lobbyists on Behalf of the City
San Francisco 25 Van Ness Avenue, Ste. 220 Ethics Commission San Francisco, CA 94102 Reporting Requirements for Lobbyists on Behalf of the City S.F. Sunshine Ordinance 67.29-4 Introduction The San Francisco
More informationFederalR eg ister Environm entald o cu m en ts
Page 1 of 9 file:///j:/air/airq uality/aq PortalFiles/Perm its/op /Section_110_Approval.htm Last updated o n Monday, Ju ly 0 7, 2 0 0 8 FederalR eg ister Environm entald o cu m en ts Y o u are h ere: EPA
More informationCase 3:17-cv VC Document Filed 09/06/18 Page 1 of 6
Case :-cv-00-vc Document - Filed 0/0/ Page of 0 0 CLARKSON LAW FIRM, P.C. Ryan J. Clarkson (SBN 0 rclarkson@clarksonlawfirm.com Shireen M. Clarkson (SBN sclarkson@clarksonlawfirm.com Bahar Sodaify (SBN
More informationHOW TO DO A COUNTY REFERENDUM A Guide to Placing a County Referendum on the Ballot
HOW TO DO A COUNTY REFERENDUM A Guide to Placing a County Referendum on the Ballot Prepared by The Mariposa County Clerk/Elections Department 4982 10 th Street / PO Box 247 Mariposa, CA 95338 209-966-2007
More informationSAN FRANCISCO MUNICIPAL TRANSPORTATION AGENCY
THIS PRINT COVERS CALENDAR ITEM NO. : 14 DIVISION: Taxis and Accessible Services BRIEF DESCRIPTION: SAN FRANCISCO MUNICIPAL TRANSPORTATION AGENCY Requesting that the Board of Directors amend Transportation
More informationCase 2:12-md AB Document Filed 10/10/18 Page 1 of 18 THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA ORDER
Case 2:12-md-02323-AB Document 10294 Filed 10/10/18 Page 1 of 18 THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA IN RE: NATIONAL FOOTBALL LEAGUE PLAYERS' CONCUSSION INJURY LITIGATION
More informationUNITED STATES OF AMERICA BEFORE THE FEDERAL TRADE COMMISSION. Maureen K. Ohlhausen Noah Joshua Phillips Rohit Chopra Rebecca Kelly Slaughter
162-3197 UNITED STATES OF AMERICA BEFORE THE FEDERAL TRADE COMMISSION COMMISSIONERS: Joseph J. Simons, Chairman Maureen K. Ohlhausen Noah Joshua Phillips Rohit Chopra Rebecca Kelly Slaughter In the Matter
More informationATTACHMENT NO. 1 BIDDER S PROPOSAL ACKNOWLEDGEMENT
ATTACHMENT NO. 1 BIDDER S PROPOSAL ACKNOWLEDGEMENT TO IB PAGE TO: Clerk of the Board INLAND VALLEY DEVELOPMENT AGENCY 1601 E. Third Street San Bernardino, CA 92408 BID: Pursuant to your published Notice
More informationEIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA PROOF OF CLAIM AND RELEASE
EIGHTH JUDICIAL DISTRICT COURT CLARK COUNTY, NEVADA IN RE YONGYE INTERNATIONAL, INC. SHAREHOLDER LITIGATION Consolidated Case No. A-12-670468-B DEPT. NO.: XI Consolidated with: A-12-670758-B A-12-670874-B
More informationE-FILED 12/26/2017 4:20 PM FRESNO COUNTY SUPERIOR COURT By: C. Cogburn, Deputy
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Sean A. Brady (SBN: 262007), Michel & Associates, P.C. 180 East Ocean Blvd., Suite 200 Long Beach, CA 90802 TELEPHONE NO.: (562)
More informationARTICLES AND DESCRIPTION. specified) from the day set for submission of bids. When no bid is returned, the vendor is removed from our vendor list.
NORTHSIDE INDEPENDENT SCHOOL DISTRICT PURCHASING DEPARTMENT 607 Richland Hills Drive, Suite 700 San Antonio, Texas 78245 (210) 397-8707 Please BID the following no later than 2:00pm CDT, September 20,
More informationGeneral complaint form for video/cable customers
Michigan Public Service Commission Formal Video/Cable Complaint General complaint form for video/cable customers I Want to File a Formal Complaint First, you must attempt to resolve your complaint directly
More informationWASTEWATER DISCHARGE PERMIT
Permit No.: 1 WASTEWATER DISCHARGE PERMIT COMPANY NAME: MAILING ADDRESS: FACILITY ADDRESS: ASSESSOR'S PARCEL NUMBER(S): 7 The above Industrial User is authorized to discharge industrial wastewater to the
More informationUNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) Petition for Review
UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT SIERRA CLUB, CENTER FOR BIOLOGICAL DIVERSITY, and GREENACTION FOR HEALTH AND ENVIRONMENTAL JUSTICE, v. Petitioners, UNITED STATES ENVIRONMENTAL PROTECTION
More informationNew Mexico Nonprofit Gaming Operator Renewal Application
New Mexico Nonprofit Gaming Operator Renewal Application New Mexico Gaming Control Board 4900 Alameda Blvd. NE Albuquerque, NM 87113 Phone: (505 841-9700 Fax: (505 841-9725 WEB: WWW.NMGCB.ORG Nonprofit
More informationHow to do a City Referendum
How to do a City Referendum A Guide to Placing a City Referendum on the Ballot PREPARED BY: THE CITY OF SANTA CRUZ CITY CLERK S DIVISION Bonnie Bush, Interim City Clerk Administrator / Elections Official
More informationMarch 30, 2000 PUBLIC UTILITIES COMMISSION OF THE STATE OF CALIFORNIA ENERGY DIVISION
Donald A. Fellows, Jr. Manager of Revenue and Tariffs March 30, 2000 ADVICE 1446-E (U 338-E) PUBLIC UTILITIES COMMISSION OF THE STATE OF CALIFORNIA ENERGY DIVISION SUBJECT: Establishment of Form 14-574,
More informationPERMANENT POST-CONSTRUCTION STORMWATER CONTROLS MAINTENANCE AGREEMENT RECITALS
RECORDING REQUESTED BY: City and County of San Francisco WHEN RECORDED RETURN TO: San Francisco Public Utilities Commission Wastewater Enterprise, PRCD 525 Golden Gate Avenue, 11 th Floor San Francisco,
More informationSAMPLE FORM F NOTICE DESIGNATING RECORD ON APPEAL
SAMPLE FORM F NOTICE DESIGNATING RECORD ON APPEAL NOTICE DESIGNATING RECORD ON APPEAL - INSTRUCTIONS After filing your notice of appeal you have 10 days to tell the Superior Court what you want in the
More informationAPPLICATION CHECKLIST IMPORTANT Submit all items on the checklist below with your application to ensure faster processing. APPLICATION REQUIREMENTS
State of Florida Building Code Administrators and Inspectors Board Application to Reinstate Null and Void Certification Form # DBPR BCAIB 9 1 of 5 APPLICATION CHECKLIST IMPORTANT Submit all items on the
More informationNOTES FOR PLANNING APPLICANTS ON THE CORK COUNTY COUNCIL HOUSING STRATEGY PLANNING AND DEVELOPMENT ACT 2000 EXEMPTION CERTIFICATES
NOTES FOR PLANNING APPLICANTS ON THE CORK COUNTY COUNCIL HOUSING STRATEGY PLANNING AND DEVELOPMENT ACT 2000 EXEMPTION CERTIFICATES Under the terms of the Housing Strategy which has been adopted by Cork
More informationIMPORTANT NOTICE. 12/22/10 Resident Alien Instructions
IMPORTANT NOTICE As of April 30, 2012, all lawful permanent resident aliens (green card holders) are eligible to apply for a Massachusetts resident license to carry (LTC) firearms or firearms identification
More informationCase 3:17-cv LB Document 87 Filed 03/28/18 Page 1 of 6
Case :-cv-000-lb Document Filed 0// Page of CHHABRA LAW FIRM, PC ROHIT CHHABRA (SBN Email: rohit@thelawfirm.io Castro Street Suite 0 Mountain View, CA 0 Telephone: (0 - Attorney for Plaintiffs Open Source
More informationDATA MANAGEMENT ASSOCIATION INTERNATIONAL
THIS AGREEMENT is entered into this by and between Data Management Association International ( DAMA-I ) of PO Box 1045, Bothell, WA 98011, United States, and DAMA ( CHAPTER ) at. INTRODUCTION DAMA-I is
More informationUNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA SAN DIEGO DIVISION
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA SAN DIEGO DIVISION BRAD MAUSS, Individually and on behalf of all others similarly situated, v. Plaintiffs, NUVASIVE, INC., ALEXIS V. LUKIANOV,
More informationVOLUNTARY DISCLOSURE AGREEMENT. The State of Florida Department of Financial Services, Division of Unclaimed Property, 200
DEPARTMENT OF FINANCIAL SERVICES Division of Unclaimed Property In Re: Case No. (Print Name of Holder) Respondent/Holder. / VOLUNTARY DISCLOSURE AGREEMENT The State of Florida Department of Financial Services,
More information2. ROLL CALL: Kimm Wolber medical Nancy Dunn public Charles Brehmer attorney William Bland public * Hollis Carlile (chair) engineer
Action Summary Minutes SOUTHERN REGION HEARING BOARD MEETING Southern Region Office Video Teleconference (VTC) Room 2700 M Street, Bakersfield, CA 93301 Wednesday,, 10:00 A.M. Meeting held via teleconferencing
More informationLOAN-OUT COMPANY START FORM AND AGREEMENT
150 West 30th Street, Suite 405 New York, NY 10001 (212) 206-1724 tel. (212) 206-1070 fax LOAN-OUT COMPANY START FORM AND AGREEMENT Production Company Loaned Out Employee Name Production Title Name of
More informationLOCAL POLICY BULLETIN #
LOCAL POLICY BULLETIN #2005-10 Effective Date: July 1, 2014 Revision Dates: June 4, 2014, September 16, 2015 Executive Committee Adopted: September 16, 2015 Full WDB Adopted: October 7, 2015 TO: All Workforce
More informationManagement Program Part III. Enforcement Ordinances. Revised 2008 Air Quality Ordinance 8/20/08 1 of 6. Part III. Enforcement Ordinances
Revised 2008 Air Quality Ordinance 1 of 6 1.0 Civil Enforcement 1.1 Administrative Compliance Orders 1.2 Civil Penalties 1.3 Injunctive Relief 1.4 Denial or Revocation of Operating Permit 2.0 Criminal
More informationATTACHMENT 6, PART 1. Draft Kern Public Notice. Draft Kern Adoption Resolution
ATTACHMENT 6, PART 1 Draft Kern Public Notice Draft Kern Adoption Resolution NOTICE OF PUBLIC HEARING ON THE DRAFT AMENDMENT #8 TO THE 2009 FEDERAL TRANSPORTATION IMPROVEMENT PROGRAM, 2007 REGIONAL TRANSPORTATION
More informationCalifornia s General Industrial Storm Water Permit And Citizen Litigation
California s General Industrial Storm Water Permit And Citizen Litigation Sophia Belloli Counsel, Downey Brand LLP 455 Market Street Suite 1420 San Francisco Phone: 415/848-4814 Email: sbelloli@downeybrand.com
More informationCity of Cupertino Massage Permit Application
CODE ENFORC EM ENT OFFICE CITY HALL 10300 TORRE AVENUE CUPERTINO, CA 95014 TELEPHONE: (408) 777-3182 FAX: (408) 868-6641 code@cupertino.org City of Cupertino Massage Permit Application Permit Number Original
More informationMinistère de l Environnement et de l Action en matière de changement climatique
Ministry of the Environment and Climate Change Ministère de l Environnement et de l Action en matière de changement climatique Order Issued Pursuant to s.35(14) of O. Reg. 419/05 Issue Date: XXXXXXXX,
More informationTHE CALIFORNIA STATE UNIVERSITY
THE CALIFORNIA STATE UNIVERSITY OFFICE OF THE CHANCELLOR BAKERSFIELD April 15, 2011 CHANNEL ISLANDS M E M O R A N D U M CHICO DOMINGUEZ HILLS EAST BAY FRESNO FULLERTON HUMBOLDT TO: FROM: SUBJECT: CSU Presidents
More informationFILMING PERMIT APPLICATION
OFFICE OF VILLAGE CLERK VILLAGE OF LARCHMONT 120 LARCHMONT AVENUE LARCHMONT, NY 10538 TEL: (914) 834-6230 FAX: (914) 833-2170 WWW.VILLAGEOFLARCHMONT.ORG FILMING PERMIT APPLICATION SECURITY DEPOSIT IS $2500.00
More informationApplication for Class II License (License for buying, sell or exchanging of secondhand motor vehicles)
Application for Class II License (License for buying, sell or exchanging of secondhand motor vehicles) Dear License Applicant: Please review the following instructions and list of required documents to
More informationTRUSTS & ESTATES SECTION THE STATE BAR OF CALIFORNIA 180 HOWARD STREET SAN FRANCISCO, CA 94105
TRUSTS & ESTATES SECTION THE STATE BAR OF CALIFORNIA 180 HOWARD STREET SAN FRANCISCO, CA 94105 To: From: Office of Governmental Affairs, State Bar of California John A. Hartog, Chair, Trust and Estates
More informationDecember 9, Mr. Daniel Simmons, Owner Whiteville Ready Mixed Concrete P.O. Box 944 Lumberton, NC 28359
PAT MCCRORY Governor DONALD R. VAN DER V AART Secretary Air Quality ENVIRONMENTAL QUALITY SHEILA C. HOLMAN Director December 9, 2016 Mr. Daniel Simmons, Owner Whiteville Ready Mixed Concrete P.O. Box 944
More informationApplication for a License to Buy, Sell, Exchange or Assemble Second Hand Motor Vehicles or Parts Thereof
Class I, II & III License Checklist Contact Sheet Application for a License to Buy, Sell, Exchange or Assemble Second Hand Motor Vehicles or Parts Thereof Worker s Compensation Insurance sheet (if you
More informationCity of Southfield Evergreen Road P.O. Box 2055 Southfield, MI Dear Applicant,
City of Southfield 26000 Evergreen Road P.O. Box 2055 Southfield, MI 48037-2055 www.cityofsouthfield.com Dear Applicant, When applying for a Food Truck License with the City of Southfield, please have
More informationEnforcement Response Plan
Attachment 8 Response Plan October 2012 Industrial Pretreatment Response Plan October 2012 The City is required under federal guidelines contained in 40 CFR Part 403 to implement and maintain an Response
More informationPROOF OF CLAIM AND RELEASE
Xybernaut Securities Litigation Settlement c/o Analytics Inc., Claims Administrator P.O. Box 2007 Chanhassen, MN 55317-2007 PROOF OF CLAIM AND RELEASE Complete and Sign this Form and Return Postmarked
More informationEXPRESSION OF INTEREST P & C EXECUTIVE COMMITTEE 2018
EXPRESSION OF INTEREST P & C EXECUTIVE COMMITTEE 2018 I wish to express my interest in nominating for a position on the 2018 Executive Committee, and would like more information. NAME: ADDRESS: PHONE:
More informationSET FINE APPLICATIONS
SET FINE APPLICATIONS Kerry Lee Thompson Crown Counsel Ministry of the Attorney General Crown Law Office-Criminal 720 Bay Street, 10 th Floor Toronto, Ontario M7A 2S9 Tel: (416) 326-1831 Fax: (416) 326-1746
More informationCommercial Front Loader Garbage Truck
INVITATION TO BID City of Cartersville, Georgia TO WHOM IT MAY CONCERN: The City of Cartersville Public Works Department will receive sealed bids for the purchase of: Commercial Front Loader Garbage Truck
More informationWhen should this form be used?
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.980(_) PETITION BY AFFIDAVIT FOR RULE TO SHOW CAUSE FOR A VIOLATION OF FINAL JUDGMENT OF INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE
More informationWRIT OF ADMINISTRATIVE MANDATE (MANDAMUS)
SAN MATEO COUNTY LAW LIBRARY RESEARCH GUIDE #13 WRIT OF ADMINISTRATIVE MANDATE (MANDAMUS This resource guide only provides guidance, and does not constitute legal advice. If you need legal advice you need
More informationIN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF CALIFORNIA SAN FRANCISCO DIVISION. Plaintiffs, Defendants.
KAMALA D. HARRIS Attorney General of California JAY C. RUSSELL SHARON A. GARSKE Deputy Attorney General State Bar No. Clay Street, 0 th Floor Oakland, CA 1 Telephone: () - Fax: () -0 E-mail: Sharon.Garske@doj.ca.gov
More informationUNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT. Office of the Clerk. After Opening a Case Pro Se Appellants (revised December 2012)
Case: 13-55859 05/16/2013 ID: 8632114 DktEntry: 1-2 Page: 1 of 16 UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT Office of the Clerk After Opening a Case Pro Se Appellants (revised December 2012)
More informationCity of Ames CDBG Renter Affordability Program Deposit and/or First Month s Rent Assistance CHECKLIST FOR APPLICATION SUBMITTAL
City of Ames CDBG Renter Affordability Program Deposit and/or First Month s Rent Assistance The purpose of this program is to assist low income households with up to $1,200.00 towards their rental deposit
More informationLEASE GUARANTOR APPLICATION AND AUTHORIZATION. Property/Property Address: Abby Creek Apartments, 5820 Fair Oaks Blvd, Carmichael, CA 95608
LEASE GUARANTOR APPLICATION AND AUTHORIZATION Property/Property Address: Abby Creek Apartments, 5820 Fair Oaks Blvd, Carmichael, CA 95608 Proposed Tenant(s): PLEASE PRINT CLEARLY AND FILL-OUT COMPLETELY.
More informationFIREWORK STAND. 1. Must be a non-profit association as defined by Section
FIREWORK STAND 2018 REQUIREMENTS 1. Must be a non-profit association as defined by Section 21000. 2. The association or corporation must have its principal and permanent meeting place in El Monte for more
More informationUNITED STATES DISTRICT COURT
Case 4:16-cr-00367-JD Document 38 Filed 02/03/17 Page 1 5 Sheet 1 UNITED STATES DISTRICT COURT Northern District California UNITED STATES OF AMERICA JUDMENT IN A CRIMINAL CASE V. (For Organizational Defendants)
More informationDEL RESORT MEMBERSHIP APPLICATION & AGREEMENT
DEL RESORT MEMBERSHIP APPLICATION & AGREEMENT 1500 Orange Avenue Coronado, CA 92118 800 HOTEL DEL hoteldel.com RESORT MEMBERSHIP PROGRAM Agreement Hotel del Coronado, is offering memberships in the RESORT
More informationForms to be returned to the Planning Department with Items 1-8
Planning Kiawah Island BZA Variance Application Package Forms to be returned to the Planning Department with Items 1-8 Variance Application Restrictive Covenants Affidavit Variance Approval Criteria Owners
More informationA Guide to Placing a County Initiative on the Ballot
A Guide to Placing a County Initiative on the Ballot Prepared by the Sutter County Elections Department 1435 Veterans Memorial Circle Yuba City, CA 95993 Phone: (530) 822-7122 Fax: (530) 822-7587 WEBSITE:
More informationIn The District Court of County, Kansas
File Stamp Date Case Number (Adopted 7/10) Prepared by: Filer s name, SC# Filer s address Filer s phone number {Filer s fax phone number} {Filer s e-mail address} Attorney for Judgment Creditor In The
More informationCase 3:15-cv EDL Document 1 Filed 12/09/15 Page 1 of 16
Case :-cv-0-edl Document Filed /0/ Page of 0 Jinny Kim, State Bar No. Alexis Alvarez, State Bar No. The LEGAL AID SOCIETY EMPLOYMENT LAW CENTER 0 Montgomery Street, Suite 00 San Francisco, CA 0 Telephone:
More informationBID ADDENDUM NO. 1. Meal Services Invitation for Bid IFB No. MS Due Date: November 13, 2012 at 2:00 p.m.
BID ADDENDUM NO. 1 Invitation for Bid Due Date: November 13, 2012 at 2:00 p.m. TO: ALL BIDDERS Bidders are advised, the following provisions of IFB/contract MS-2012,, have been amended and will supersede
More informationSUB. 1 TO ORD. AMDT. 13, 08-09
SUB. 1 TO ORD. AMDT. 13, 08-09 AMENDING CHAPTERS 19, 25 AND 40 OF THE DANE COUNTY CODE OF ORDINANCES, REQUIRING EQUAL BENEFITS FOR EMPLOYEES OF EMPLOYERS CONTRACTING WITH DANE COUNTY AND CREATING CHAPTER
More informationBusiness License Startup Checklist
Business License Startup Checklist All applicable items must be submitted at the time of application. Items in bold are required for ALL Businesses. Incomplete applications may delay the processing of
More information