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San Joaquin Valley Air Pollution Control District <br /> www.valleyair.org . <br /> Permit Application For: <br /> 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 Operate. <br /> 1. PERMIT TO BE ISSUED TO: USA Gasoline Corporation <br /> 2. MAILING ADDRESS: 3330 Cameron Park Drive, Suite 550 <br /> STREET/P.O.BOX: <br /> 9-DIGIT 95682 <br /> CITY: Cameron Park STATE: CA ZIP CODE: <br /> 3. LOCATION WHERE THE EQUIPMENT WILL BE OPERATED: WITHIN 1,000 FT OF A <br /> STREET: 2500 West Lodi Avenue CITY: Lodi SCHOOL? [ l YES [✓] NO <br /> 14 SECTION TOWNSHIP RANGE S.I.C. CODE(S) OF FACILITY <br /> T (IF known): <br /> 4. GENERAL NATURE OF BUSINESS:Retail Gas Station INSTALL DATE: <br /> 5. TITLE V PERMIT HOLDERS Do you request a COC (EPA Review) prior to receiving your ATC? [ ] YES I ] NO <br /> ONLY: <br /> 6. DESCRIPTION OF EQUIPMENT OR MODIFICATION FOR WHICH APPLICATION IS MADE (include Permit#"s if known, and use <br /> additional sheets if necessary): <br /> Soil vapor extraction consisting of 5 hp roots positive displacement blower and USFilter's Vent Scrub <br /> adsorption vessel with 1,000 pounds of granular activated carbon <br /> ow <br /> 7. HAVE YOU EVER APPLIED FOR AN ATC OR [✓] YES [ ] NO Optional Section <br /> PTO IN THE PAST? 10 CHECK WHETHER YOU ARE A 0A1 <br /> If yes, ATCIPTO#:N-903-2-3 PARTICIPANT IN EITHER OF /11 <br /> 8. IS THIS PROPERTY ZONED PROPERLY FOR THESE VOLUNTARY PROGRAMS: <br /> THE PROPOSED USE? [`/] YES [ ] NO "SPARE THE AIR" <br /> 9. IS THIS APPLICATION SUBMITTED AS THE [ ]Yes [ ]No I ]Send info <br /> RESULT OF EITHER A NOTICE OF [ ] YES [,/I NO "INSPECT" <br /> VIOLATION OR A NOTICE TO COMPLY? If yes, NOWNTC#: [ ]Yes [ ]No [ ]Send info <br /> 11. TYPE OR PRINT NAME OF APPLICANT: TITLE OF APPLICANT: <br /> Gowri S. Kowtha, P. E. Project Manager <br /> 12. SIGNATURE OF ICA DATE: PHONE#: 530.676.6001 <br /> FAX #: 530.676.6005 <br /> E-MAIL: akowthaOstratusinc.net <br /> FOR APCD USIA ONLY: <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 /> Rev:lulu 2000 <br />