Laserfiche WebLink
l <br /> San Joaquintalley Air Pollution Coltrol District <br /> www.valleyair.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) - Existing Emission Unit Now Requiring a Permit to 0 erste. <br /> 1. PERMIT TO BE ISSUED TO: An(A N'I L G 421 G 4 P C c LD 01L_ C,O MFA-N 4 CA 2C0) <br /> 2. MTARILIGOADDDRESS-3330 CAmepoN Pi4fy DeIVE SUITE 550 <br /> CTTY: C"A rn c- o N Pfl'e-IL STATE: CA- ZIP CODE:9-DIGIT q S b8 X <br /> 3. LOCATION WHERE THE EQUIPMENT WILL BE OPERATED: WITHIN 1,000 FT OF A <br /> STREET: 2,5-4-45- SOUTH PATTE2S0hl PASS CTTY: )t`ACIV SCHOOL? [ ] YES IX1NO <br /> A SECTION TOWNSHIP RANGE S.I.C. CODE(S) OF FACILITY <br /> (If known): <br /> 4. GENERAL NATURE OF BUSINESS: (,ASOLi N E 'ZE 1 A 1 L ST OFa INSTALL DATE: <br /> 5. TITLE V PERMIT HOLDERS ONLY:Do you request a COC (EPA Review) prior to receiving your ATC? [ ] YES [xl 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 /> `j011. VAPOK EK'IQ;RGTIGN ,� AQ7•iTElribn77 SYSTC-M CONSIS?INC.. OF <br /> A $ 14P f3I'D Wt;2 � 200 C,08LG Fr T PER M(rJUTf�_ CAT ALYTIc. <br /> O)CIDJyEf- <br /> 7. HAVE YOU EVER APPLIED FOR AN ATC OR [ ] YES [,r\] NO Optional Section <br /> PTO IN THE PAST? 10.CHECK WHETHER YOU ARE A SPA <br /> If yes, ATC PTO#: PARTICIPANT IN EITHER OF <br /> 8. HAVE ALL NECESSARY LAND-USE THESE VOLUNTARY PROGRAMS: <br /> AUTHORIZATIONS BEEN OBTAINED? YES [ ] NO "SPARE THE AIR" -AIR <br /> (If"No" is checked,please attach explanation.) [ ]Yes V]No [ ]Send info /G- <br /> eel <br /> YES ]NO <br /> 9. IS THIS APPLICATION SUBMITTED AS THE "INSPECT" <br /> [ 1 [jc ids <br /> RESULT OF EITHER A NOTICE OF If yes,NOV/NTC#: [ ]Yes [y.]No [ ]Send info <br /> VIOLATION OR A NOTICE TO COMPLY? <br /> 11. TYPE OR NT NAME PPLICANT: TITLE OF APPLICANT: <br /> JA-f 7oHNso j PCO?C-c—i MaNA(,,EP <br /> 12. SIG AT APP A T: DATE: PHONE#: (630) 6-16 600@ <br /> �y 7 FAX #: (530) 616 6005 <br /> E-MAIL:J30HNSON GLS'T"TVS(N L. N 6i <br /> FOR CD SE LY: <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 /> an:Jan 20M <br />