This document discusses how certain vehicles, termed "gross emitters", can significantly contribute to local air pollution even though they meet emissions standards. It notes that 3.9% of trucks emit 50% of NOx emissions and that gross emitters include older vehicles as well as those with tampered emissions systems. The document then outlines Cambustion's work developing portable sensors to detect high NOx emissions from passing vehicles and identifies situations where legitimate selective catalytic reduction (SCR) systems used to reduce diesel NOx can still emit high levels, such as during cold starts. It warns that tampered SCR systems may emit large amounts of untreated NOx and discusses the health impacts of NOx exposure on cyclists and children.