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GENERAL ORDER OF APPROVAL APPLICATION FORM <br /> ��,, -✓'r��`\,,�,,,,� AUTOMOTIVE REFINISHING OPERATION SPRAY BOOTH <br /> Puget Sound Clean Air Agency <br /> p s c l e a n a i r. o r g <br /> 1904 31 Avenue, Suite 105, Seattle WA 98101 <br /> Puget Sound Clean Air Agency Telephone: 206-343-8800; Fax: 206-343-7522 <br /> <www.pscleanair.org> <br /> AGENCY USE ONLY Date: Reg No.: NOC No.: <br /> Facility Name: Top SER <br /> Facility Address: 1/4411 t.-( l-�o /�v E.JQ1 ( l.,-) A Q aZU 3 <br /> Mailing Address: I' 1 <br /> t-ConResponsible Person: ( avtyco✓ Phone: QC)Ce) 3 s Lt-- <br /> Contact <br /> tact Person: Cvvtvla✓ ` ` Email:revKa',"&c-€k(21, cc-f,Dt-e1- <br /> Zoning Classification of facility address: 6-2 <br /> Is spray coating permitted in this zone? ® Yes ❑ No <br /> Name& phone number of person you contacted at City or County: pct(,-) 4vico -4-, v\ <br /> - L — Sc3(? <br /> Will spray booth be inside an ❑ Existing OR Sel Newly Approved building? <br /> Spray Booth Manufacturer: GARMAT USA <br /> Booth Make and Model: GARMAT CHINOOK II <br /> Enclosed or Open Face: ENCLOSED <br /> Interior Size (cubic feet, CF): 324 SQ FT <br /> Exhaust Flow Rate (Cubic Feet per Minute, CFM): 12,000CFM L <br /> Exhaust Filter Manufacturer: CS MEDIA �,: 199.5 <br /> (Attach manufacturer's filter specification sheet that shows removal efficiency) <br /> Stack height above roof: J+5' <br /> Spray Guns: [XI'High Volume Low Pressure (HVLP) ❑ Electrostatic <br /> Spray Guns Make and Model: kb4 3000 <br /> Cleaning Method: ® Enclosed Cleaner ❑ Disassembled in bucket <br /> Total gallons of coatings & solvents used per year: N /Ac <br /> Certification by source: <br /> I, the undersigned, do hereby certify that the information contained in this application and the <br /> applicability workshee is, to the best of my knowledge, accurate and complete. <br /> r 3 � � (90141401 - 84 / <br /> gnatur- & Date / Print Name & Title <br /> Your application will NOT be processed unless you provide a$500 review fee(payable by <br /> check or credit card)along with this application. <br /> Form 50-199(7/29/14 ns) Page 2 of 2 <br />