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San JoaquilDlalley Unified Air Pollution9ontrol District <br /> Supplemental Application Form <br /> SOIL AND GROUNDWATER REIVIEDIATION <br /> This form must be accomanied b a completed A ficaticn for Authorft to Construct and Permit to 0- rate form. <br /> PERMIT TO BE ISSUED TO: <br /> F)'1l,frN'TI(, �.lGl-I`YIEL� OIL CGMPPrNy CAcCO) <br /> LOCATION WHERE THE EQ'U'IPMENT WILL BE OPERATED: <br /> 25-735 Soulri PATTF, 5on1 'Pp-&-s , TkA( Lf GA . <br /> Company Managing the Project: 67"TUS ENVif.ONMENTRL, 1 Nc <br /> Mailing Address: 3330 CAME"Ni PAP-Y- Tf. X 550 City: CftrflcF-W PA¢cState: C/} Zip: RS66Z <br /> Contact Name: K t2AN X A6„AV/ JU Phone Number: 153,1) 636 600T Fax Number: (530) t 36 6005- <br /> PROCESS <br /> 005PROCESS DESCRIPTION <br /> AffftvedlVIwia [K] Groundwater [x] Soil <br /> Source of Hydrocarbon Contamination (Include Substances and Sources): <br /> PC'TCOLCUM [14DF0Ca,280N 3mgAc1C-p SOIL & kpov"DwArep- <br /> Molecular Weight of contaminant: 66 Ib/Ib-mole (default will be gasoline 0 B6 Ib/Ib-mole) <br /> GROUNDWATER REMEDIATION EQUIPMENT DESCRIPTION <br /> Air ipp>rr•Pan / Fan Manufacturer: Model: <br /> Pump'1}alt Pump Manufacturer: Model: <br /> Max Air Flow: scfm Max Water Flow: gpm HP Rating: <br /> Hydrocarbon concentration of the ground water at the most contaminated location: ppm <br /> Max. hydrocarbon concentration of the air stream entering the control equipment from the stripper: ppm <br /> Overall control efficiency for the remediation operation: % (from the manufacturer's guarantee) <br /> SOIL REMEDIATION EQUIPMENT DESCRIPTION <br /> Extraction Manufacturer. ?vfNlLl Model: >'- s o. q2-30 <br /> E.Ro fer / Motor HP Rating: S CS1NG LE f r+asE� Flow Rate: 200 cfm <br /> Is soil to undergo aeration: [x] No [ ] Yes If yes, please fill out aeration supplemental form (instead of this form). <br /> Hydrocarbon concentration of the soil at the most contaminated location: 2s, 000 ppm <br /> Max. hydrocarbon concentration of the airstream entering the control equipment from the soil wells: 160, OV U ppm <br /> Overall control efficiency for the remediation operation: q S - q 1 % (from the manufacturer's guarantee) <br /> Please Continue on Reverse Side 10196 <br />