TAB 7 CDRL.pdf

South Coast

Air Quality Management District 21865 Copley Drive, Diamond Bar, CA 91765-4182

(909) 396-2000 www.aqmd.gov

FORM 1600-1

(06/05/2014)

EMISSION CREDITS TRANSACTION REGISTRATION FORM

A Transaction Registration Fee as specified in Rule 309(c)(5), or Rule 308 (l) if applicable, is required from the buyer/ transferee with the submittal of this form. (Note: This fee is not required if the buyer/transferee is a Rule 2202 regulated worksite and the emission credits are intended to be used for Rule 2202 compliance within the credit submittal cycle.)

Credit Source Code1

Credit Issuance

Date2

Credit Valid Date2

Credit Expiration

Date2

VOC

(Total in

Lbs.)

NOx (Total in

Lbs.)

CO

(Total in

Lbs.)

1. The emissions credit source code is assigned by the SCAQMD at the time the credits are issued and found on the issuance letter. The source code identifies the type of credits (such as mobile source credits or stationary source credits).

2. If there are emissions credits with different issuance, valid, and expiration dates, please list them on the second page of this form and transfer the total amounts here.

Type of Transaction (Please check one box below)

Non-Rule 2202 Account to Rule 2202 Regulated Worksite.

Rule 2202 Broker Account to Rule 2202 Regulated Worksite (or vice versa).

Non-Rule 2202 Account to Rule 2202 Broker Account

Other ___________________________________

(please specify)

I certify that I am authorized to make this submission on behalf of the affected registered holders of the emission credits listed herein. I certify that the statements are true, accurate, and complete to the best of my knowledge.

Authorized Representative of Buyer/Transferee (print name) Authorized Representative of Seller/Transferor (print name)

Title Title

Signature Date Signature Date

Submit this Transaction Registration Form along with filing fees (if applicable) to:

South Coast Air Quality Management District (Attn: Transportation Programs)

21865 Copley Drive, Diamond Bar, CA 91765

If you need assistance in completing this form, please call Transportation Programs at (909) 396-3271.

Name of Buyer/Transferee Account ID#

Address:

Name of Seller/Transferor Account ID#

Address:

Emission Credits Transaction Registration Form (cont.) Form 1600-2

Buyer Account ID #

Credit Source Code1

Credit Issuance

Date2

Credit Valid Date2

Credit Expiration

Date2

Pollutant Credits (Lbs.)

If Inter-Pollutant

Crediting, Indicate Converted Amount

(Lbs.)3

SCAQMD

Staff Only VOC NOx CO

PM

Total Emission Credits

(transfer to front page)

1. The emissions credit source code is assigned by the SCAQMD at the time the credits are issued and found on the issuance letter. The source code identifies the type of credits (such as mobile source credits or stationary source credits).

2. If there are emissions credits with different issuance, valid, and expiration dates, please list them on this page and transfer the total amounts to the front page.

3. These pollutant amounts can be used for inter-pollutant crediting. Any emissions credits intended to be used for inter-pollutant crediting must be identified on a separate row in the table above.