AB617 Community Self-Recommendation Form

Note: Information provided by you on this worksheet (including contact or other personal information) is a public record and may be released in response to a California Public Records Act request

Contact Information

Input on Community Selection and Priorities

If yes, please elaborate.

Community information

10. Is your community recommending itself for deployment of a community air monitoring campaign, for development of a community emissions reduction program, or both?

Additional information

13. Would you like to sign up for updates on AB 617? Select yes to be included in the email list

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Submit a letter or additional documents

South Coast Air Quality Management District

21865 Copley Dr, Diamond Bar, CA 91765



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