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San Joaquin*Valley Air Pollution Control District <br /> www.valley&.org <br /> Permit Application For: <br /> [X] AUTHORITY TO CONSTRUCT (ATC) -New Emission Unit. <br /> [ ] AUTHORITY TO CONSTRUCT (ATC) -Modification Of Emission Unit With Valid PTO/Valid ATC. <br /> [ ] AUTHORITY TO CONSTRUCT (ATC) -Renewal of Valid Authority to Construct. <br /> [ ] PERMIT TO OPERATE (PTO) - Existins Emission Unit Now Requiring a Permit to Operate. <br /> 1. PERMIT TO BE ISSUED TO: <br /> I)TGRN7IG d21GFtFIELD OiL GCNIPFINY CARGO <br /> 2. MAILINGADDRESS: 3330 CAMCeuri PAax SUITE 550 <br /> STREET/P.O.BOX: <br /> CITY: CAMERON TA P I` STATE: G(�_ ZIP CODE:9-DIGIT <br /> 3. LOCATION WHERE THE EQUIPMENT WILL BE OPERATED: WITHIN 1,000 FT OF A <br /> STREET: 45 � �5 SOL)I1] PATI EQbOrJ 'PAss CITY: fe-Ar-V SCHOOL? [ ] YES (X] No <br /> /4 SECTION TOWNSHIP RANGE S.I.C.CODE(S)OF FACILITY <br /> (If known): <br /> 4. GENERAL NATURE OF BUSINESS: C AsOLi 4QC% PC-TAIL- Serop_c INSTALL DATE: <br /> 5. TITLE V PERMIT HOLDERS ONLY:Do you request a COC (EPA Review) prior to receiving your ATC? [ ] YES [X] NO <br /> 6. DESCRIPTION OF EQUIPMENT OR MODIFICATION FOR WHICH APPLICATION IS MADE (include Permit C's if known,and use <br /> additional sheets if necessary) <br /> ex,Fco.I,�On 6 lu-n Ceritiali o t <br /> (,t�$it ecY �v6 Ystin"n}C <br /> crta oke od Y zosr <br /> 7. HAVE YOU EVER APPLIED FOR AN ATC OR [ ] YES [jC] NO Optional Section <br /> PTO IN THE PAS1710.CHECK WHETHER YOU ARE A SPA <br /> RE <br /> If yes,ATG/PTO#: PARTICIPANT IN EITHER OF // <br /> 8. HAVE ALL NECESSARY LAND-USE THESE VOLUNTARY PROGRAMS: 1�7 <br /> AUTHORIZATIONS BEEN OBTAINED? [j( ] YES [ ] NO "SPARE THE AIR" 77 IR <br /> (If"No" is checked,please attach explanation.) [ ]Yes [v]No [ ]Send info ECt <br /> 9. IS THIS APPLICATION SUBMITTED AS THE [ ] YES ] NO "INSPECT" 1f SP <br /> RESULT OF EITHER A NOTICE OF If yes, NOV/NTC#: [ ]Yes [ANo [ ]Send info <br /> VIOLATION OR A NOTICE TO COMPLY? <br /> 11. TYPE OR PRINT NAME OF APPLICANT: TITLE OF APPLICANT: <br /> y 70I11VSO V PC_OJE(7 MANA6,,Ee, <br /> 12. SIGNATURE OF A PLI I DATE: PHONE#: (530 ) 6-fib 6 000 <br /> FAX #: (530 ) 646 6 005 <br /> 9 Iz b� E-MAIL: 77ohrwgn Ca Sf�-aluat nc.ne,'l <br /> FOR APCD USE 0 Y: <br /> DATE STAMP FILING FEE <br /> RECEIVED: $ CHECK#: <br /> DATE PAID: <br /> PROJECT#: FACILITY ID: <br /> Northern Regional Office * 4230 Kiernan Avenue, Suite 130 *Modesto, California 95356-9321 * (209) 557-6400* FAX (209) 557-6475 <br /> Central Regional Office * 1990 East Gettysburg Avenue* Fresno, California 93726-0244 * (559) 230-5900 *FAX (559) 230-6061 <br /> Southern Regional Office * 2700 M Street, Suite 275 * Bakersfield, California 93301-2370* (661) 326-6900 *FAX (661) 326-6985 <br /> ar:J.MM <br />