Report of Annual Dry Cleaning Solvent Used for Calendar Year 2016

Use this page to submit your annual Dry Cleaning Solvent usage to Southwest Clean Air Agency.

Enter your identification information below
All fields are required!
Facility Name: —OR— SWCAA ID:
Your Name: (first and last)
Your Job Title:
Your Phone Number: (aaa-ppp-nnnn)
Your Email Address:

Enter your Gallons of solvent used below

I hereby certify, to the best of my knowledge, that the total annual gallons of dry cleaning solvent used during the calendar year of 2016 for this facility were:

Gallons of PERC Used: (optional commas)
Gallons of DF-2000 Used:
Gallons of Stoddard Solvent Used:

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By clicking the SUBMIT button an email that sumarizes the entries on this form will be sent to you and to SWCAA.
SWCAA staff will update your account information.