Laserfiche WebLink
San Joaquin Valley Air Pollution Control District <br /> www.valleyaih.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 Authorit},to Construct. <br /> [ ] PERMIT TO OPERATE (PTO) -Existing Emission Unit Now Requiring a Permit to Operate. <br /> I. PERMIT TO BE ISSUED TO:USA Gasoline Corporation <br /> 2. MAILING ADDRESS: <br /> STREET/P.O.sox: 3330 Cameron Park Drive Suite 550 <br /> CITY: CAMERON PARK STATE: CA zip coDE. 95682 <br /> 3, LOCATION WHERE THE EQUIPMENT WILL BE OPERATED: WITHIN 1"000 FT OF A <br /> STREET: 2500 West Lodi Avenue CITY: Lodi <br /> SCkOOL? [ ] YES [X]NO <br /> S.I.C.CODE(S)OF FACILITY <br /> J SECTION TOWNSHIP RANGE (If known <br /> 4. GENERAL NATURE OF BUSINESS: Gasoline Service Station INST DATE: ! <br /> 5. TITLE V PERMIT HOLDERS ONLY; Do you request a COC(EPA Revic x)prior to receiving your ATC? YES] YES [X]NO <br /> 6. DESCRIPTION OF EQUIPMENT OR MODIFICATION FOR WI-IICH APPLICATION IS MADE(include Permit#'s if kndv`aI,and use <br /> additional sheets if necessary) <br /> Petroleum hydrocarbon laden soil vapors will be extracted using the bloiver in-built on the S VE system and treated in the catalytic <br /> oxidizer prior to discharge to atmosphere. <br /> 3 <br /> E <br /> 7. PERMIT REVIEW PERIOD: Do you request a three-or ten-day period to review the draft Authority to Construct [ ] 3-day review <br /> P <br /> Please note that checking`YES"will delay issuance of your final permit by a corresponding rxumber of [ ] 10-day review <br /> working days. See instructions for more information on flus review process. No review requested <br /> If 8. HAVE YOU EVER APPLIED FOR AN ATC OR [X)YES ( ]NO Optional Section <br /> PTO IIT THE PAST? If yes,ATC/PTO#:N-4887-1-0 I I CI-CK wxEETI-1ER YOU ARE A SpA <br /> PARTICIPANT IN EITHER OF <br /> 9. HAVE ALL NECESSARY LAND-USE THESE VOLUNTARY PROGRAM <br /> AUTHORIZATIONS BEEN OBTAINED? "SPARE THE AIR" ?AI R <br /> (If"No"is checked.pfeasa attach explana,ion.) [X]YES [ ]NO [ ]Yes [ ]No [ ]Send info n( <br /> 10. IS THIS APPLICATION SUBMITTED AS "INSPECT" i�ySpe <br /> THE RESULT OF EITHER A NOTICE OF [ ]YES [X]NO [ ]Yes [ ]No [ ]Send info <br /> VIOLATION OR A NOTICE TO COMPLY? <br /> If yes,NOV/NTC#: <br /> 12. TYPE OR PRINT NAME OF APPLICANT: Govuri S. Kowtha TITLE OF APPLICANT:Project Manager <br /> 13 SIGNATURE OF APPLICANT: DATE: PHONE#: (530)676 6007 <br /> L /09 FAX #: (530)676 6005 <br /> E-MA)L:gkoNNqha@stratLisiiic.net <br /> FOR APCD USE ONLY: <br /> DATE STAMP: FILING FEE <br /> RECEIVED: $ CHECK#: <br /> DATE PAID: <br /> PRO.MCT#: 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 /> - R,OCE?093 ¢¢ <br />