Laserfiche WebLink
•'"••••Mi rpeced/a Nin tyle.Le.. Id cnsr mn`n..". LSA l0.HUM8ER - <br /> •gp�rea yi a"vewnwwa"rwt,woracTlo"woa"cr c <br /> "TM GFr IAL INFORMATION / U <br /> 1 .=.►EPA 11n ..ad.adRNmlyP.� <br /> fRee,Me-'Careered(ruhucdeni ee(ea afarnne.I a"awAL I",rwucrlo"a ' <br /> =_NERAL <br /> H a preprinted tabd has bean provided. 611 <br /> it In the da'.pnat<d epaCe.Review the Inform- <br /> A e O. HUMS 1 nlon orafulty;tl any of it 4 Incorrect, Or <br /> tthro.ph 1t and enter the correct date in the <br /> t AC L TY applopnlate flan era below. Also.N any of <br /> (eI�yne^prepr{ntW den abam (tM em to <br /> rid S/' `yau /lata sIe M(ormatlonpn <br /> ACI tT P BE IN S SPA fha 1fiO1a appear) Wean, provide it in the <br /> ASE <br /> AI IN A OR ss proper III areas/ below. If the label Is <br /> � II YI �ll IV ac V1 named not <br /> which <br /> mwc be completed regardless). Canptete all <br /> Item, it no t" hes been provided ROW m <br /> \IFA ILI Y the Yrtructiotr for detailed item dn.T10 <br /> I.LOCATIO tion, and for th, legal sunt ritation, under <br /> which this data Y collected. <br /> .POLLUTANT CHARACTERISTICS <br /> :NSTRUCTWNS: Complete A through J to detannine vfiethu you need to submit any permit appl'ution forms to I the PA If you&I-yes'to any <br /> questions,you must submit this form and the supplemental form listed in the w inteed nnotsfollowing the fubmit any of thea on.Mark may she bo in the thiYou column <br /> : f the supplemental form is attached.If you vuwet"no"to tech q n.Y <br /> ou ity <br /> is excluded from permit requirements;as Section C of the in/tructlOrL Sea 41 SK60A D of the Initructiom for definitions of bold—faced farms. <br /> aractric <br /> IL Ocas or will this facility (1 41 a'pmpoeed) <br /> A. Is this facility a publicly owned trvtment ane include a eoncemreted animal feeding oParati w or X <br /> which resulte in • discharge to aratera at tM LLW X equ nic enlmd peoductton fae01ty which woutta in a <br /> (FORM 2A) dkctelge to water of the U3.?(FORM 291if if <br /> N .. <br /> . this • aCi Ity w .c current y `esu to In . w• rry o art <br /> to venae d she II other than tine desvibd in X kv A or t aoor+l whkdh win rewrft In a discharge to X X <br /> or above? F RM 2 f m f F M <br /> F. Oce You a will You inject at tln4 facility kdustrtM Or <br /> E. Outor will this facility vat, atone. a disposesdispoat municipal eNluam allow M the to vertnatrevwn eon• X <br /> fi,Zaow wastes?(FORM 31 X taming, within one quartermile of the yell bon. <br /> • underonwnd sources of drinking water?(FORM 41 <. <br /> o You or w. you mlect n Is such 111I y—P ra a u c ad - N. Do You or will You inject at this facility f s&Kkfor ape- <br /> water or other fluids which an brought to the lu face, cial pnpoteee ouch as mtning of wffur by she Frasch <br /> in connection with conventional oil u natural as pro- proonaeolutlon mining of mineral.,M sine combo X <br /> duction, inject fluids used for enhanced recovery of X tion of town fuel.or recovery of geothermal gna ? <br /> oil or neural gas,or inject fluids for storage of e'tpuid (FORM a1 <br /> h rtxatbont?(FORM 4) +� " <br /> a(;I Iry , pro atet.onnary aouroewhich r 1 14 tha facility a proposed stationary eeWG whiOn r <br /> . alit of the 28 indwtrial owilories listed in she 11INOT one of the 28 Industrial nanegories pard M the <br /> .traction. and which will potentially emit 100 tore Mtivctiorr and which will potentidfy ami 250 Wft <br /> per year of any air pollutant rowlned under Un, X par year of airy ask poliwm regulated under the Clean <br /> Clan Air Act and may 411e1 or be looetd in an AirAct ORendM'effect u Wo <br /> located In en atUlrunwm <br /> arse?attaimn ns area?(FORM 5) <br /> IL NAME OF FACILITY <br /> a"v E X X O N C 0 M P A- N Y U S A R S 7 — 3 9 4 2 <br /> V.FACILITY CONTACT -A."Awc • TITLE flat, lir+[,A !111.1 - a.F"ONc(e Ne cedr It{0.1 <br /> Z D FB BI E H A R R I S E N V. E N G I N E E R 7 1 6 5 7 7 5 <br /> d.FACILITY MAILING AOORESS <br /> A.ZTweeT on e.0. max <br /> 1 2 0 0 S 4 I T H S T R E E T R 0 0 M 3 1 1 2 3 <br /> a ctrl' on Tow" •TAT O•Zar COOS <br /> a H 0 IU'S T O N T X 7 7' 0'0 2 <br /> V1.FACILITY LOCATION <br /> A.STwaa T.wOUT'NO.On OT"(w V,CIr Ic noa"TIII(w <br /> 4 4 4 N O R T H - P E R S H I N G A V E N U E <br /> a cou"Tv"A"a <br /> A N J 0 A Q U I N <br /> c c.TT ow TOeew •arATe: a.le.coon <br /> 8 S T 0 C K T 0 N C A 9. 5 2_0 7 <br /> CONTINUE ON REVERSE <br /> EFA Form 2510-1(R<.r.10-001 <br />