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["SCAQMD RULE 1168 - ADHESIVE AND SEALANT APPLICATIONS\n       QUANTITY & EMISSION REPORT (QER)"]
["  ","Please select all that apply:",null,null,null,null,"How did you determine the AQMD Annual Sales Volume?  ( Please select all that apply)",null,null,null,null,null,"Is any information included in this report considered confidential?"]
[]
[]
[]
[]
[]
[]
["Legal Name of Manufacturer (as listed on manufacturer label):",null,null,"Manufacturer's ID Number:",null,null,null,null,null,null,null,null,null,null,null,null,"Reporting Year:"]
["> ",null,null,"> ",null,null,null,null,null,null,null,null,null,null,null,null,">"]
["Street Address:",null,null,"City:",null,null,"State:",null,null,null,"Zip Code:",null,null,"Date Report Completed:"]
["> ",null,null,"> ",null,null,"> ",null,null,null,"> ",null,null,"> "]
["Responsible Party:",null,null,"Position:",null,null,"Phone Number:",null,null,null,"E-Mail Address:"]
["> ",null,null,"> ",null,null,"> ",null,null,null,"> "]
[]
["  GENERAL QER"]
[]
["LINE \nNO.","PRODUCT MANUFACTURER\n(as listed on manufacturer label)","PRODUCT NAME","PRODUCT CODE","APPLICABLE RULE 1168 CATEGORY  (TABLE 1)","WATERBORNE (W/B) OR SOLVENT-BASED (S/B)?",null,"VOC Regulated Product    (g/L)\n[Less water and exempt solvents]","VOC Material (g/L) ",null,"VOC Regulated Product\n(g/L) \nAs Applied1 \n[Less water and exempt solvents]","TOTAL ANNUAL VOLUME SOLD* \n(gal) ",null,"REGULATED PRODUCT WITH VOC CONTENT HIGHER THAN RULE 1168 APPLICABLE LIMIT (Please select all that apply)",null,null,null,null,"Manufacturer Notes and Comments"]
[]
[null,null,null,null,null,"W/B","S/B",null,null,null,null,"*into or within the District, including through distribution centers in- or outside of the District",null,"SELL-THROUGH PROVISION","LOW-SOLIDS","RULE 1168(i) EXEMPT","MEETS 1168 (c)(7) - Control Device","MEETS 1168 (c)(8) - \nAlt. Em. Control"]
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[8]
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["  GENERAL QER (PERCENT VOC BY WEIGHT)"]
[]
["LINE \nNO.","PRODUCT MANUFACTURER\n(as listed on manufacturer label)","PRODUCT NAME","PRODUCT CODE","APPLICABLE RULE 1168 CATEGORY  (TABLE 1)","WATERBORNE (W/B) OR SOLVENT-BASED (S/B)?",null,"PERCENT VOC BY WEIGHT ","TOTAL PRODUCT WEIGHT SOLD*(lbs) (Does not include container weight)",null,null,"REGULATED PRODUCT WITH VOC CONTENT HIGHER THAN RULE 1168 APPLICABLE LIMIT (Please select all that apply)"]
[]
[null,null,null,null,null,"W/B","S/B",null,"*into or within the District, including through distribution centers in- or outside of the District",null,null,"SELL-THROUGH PROVISION","RULE 1168(i) EXEMPT","MEETS 1168 (c)(7) - Control Device","MEETS 1168 (c)(8) - \nAlt. Em. Control"]
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[]
[]
["  AEROSOL QER"]
[]
["LINE \nNO.","PRODUCT MANUFACTURER\n(as listed on manufacturer label)","PRODUCT NAME","PRODUCT CODE","PERCENT VOC BY WEIGHT","CONTAINER SIZE (fl oz)","TOTAL PRODUCT WEIGHT SOLD* (lb)\n(Does not include container weight)"]
[]
[null,null,null,null,null,null,"*into or within the District, including through distribution centers in- or outside of the District"]
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[6]
[]
["  55 GALLON EXEMPTION QER"]
[]
["LINE \nNO.","PRODUCT MANUFACTURER\n(as listed on manufacturer label)","PRODUCT NAME","PRODUCT CODE","VOC Regulated Product    (g/L)\n[Less water and exempt solvents]","VOC Material    (g/L)","UNIT SIZE","TOTAL VOLUME PURCHASED (gal)","NAME AND ADDRESS OF COMPANY/RETAILER WHERE PRODUCT WAS PURCHASED"]
[]
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