AB617 Community Self-Recommendation Form

Please fill out this form by June 30th, 2019

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

9. 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

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

File Upload (optional)
Submit a letter or additional documents

South Coast Air Quality Management District

21865 Copley Dr, Diamond Bar, CA 91765

909-396-2000

 

© 2019 South Coast Air Quality Management District