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San Joaquin Valley Unified Air Pollution Control District <br /> Supplemental Application Form <br /> ;I; f <br /> SOIL AND GROUNDWATER REMEDIATION <br /> This form must be accoLnanied by a completed A22Lation for A.uthority to Construct and Permit to Operate form. <br /> PERMIT TO BE ISSUED TO: <br /> USA Gasoline Corporation lI <br /> LOCATION WHERE THE EQUIPMENT WILL BE OPERATED: <br /> 2500 West Lodi Avenue, Lodi- California <br /> Company Managing the Project: Stratus Environmental , Inc. <br /> Mailing Address: 3330 Cameron Park Dr . , 550 City33:Cameron :'ParkState: CA ip:95682 <br /> 'I Contact Name: Gowri S. Kowtha Phone N&h e 676-60,`01 Fax Nium�76-6005 <br /> E` <br /> PROCESS DESCRIPTION ". <br /> Affected Media [ 4 Groundwater [�� Soil <br /> . I <br /> Source of Hydrocarbon Contamination (include Substances and Sources): '9 <br /> Petroleum Hydrocarbon Impacted Soil & Grou=ndwater <br /> Molecular Weight of contaminant: ' 86 Ib/lb-mole (default will belgasoline 86 Ib/lb-mole) <br /> iGROUNDWATER REMEDIATION EQUIPMENT DESCRIPTION <br /> ' ..Air StOpper fan T'; F Fan Manufacturer: Model <br /> Pump.-Information '. Pump Manufacturer: Model: <br /> Max Air Flow: scfm Max Water Flow: 1, gpm HP Rating: <br /> I!i 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 /> J <br /> =Overall control efficiency for the remediation operation: % (froi�n the manufacturer's guarantee) <br /> i <br /> SOIL REMEDIATION EQUIPMENT DESCRIPTION <br /> Extraction. Manufacturer: : Roots Model:,, <br /> } Blower / Motor HP Rating: 5 Flow Rate: cfm <br /> Is soil to undergo aeration: [)d 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: 8 ,?1000PAm <br /> , 064 <br /> Max. hydrocarbon concentration of the air stream entering the control equlpment from the soil wells: ppm <br /> Overall control efficiency for the remediation operation: 95-;.99 , 99 % (from the manufacturer's guarantee). <br /> Please Continue on Reverse Side i; 10196 <br />