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PUGET SOUND CLEAN AIR AG
<br /> 1304 3RD AVE STE 105
<br /> SEATTLE, WA. 98101-3317
<br /> 206-689-4014
<br /> Phone/Web
<br /> ID: 0054070000000027270400
<br /> PUGET SOlIND.LEAN AIR AGENCY
<br /> 08/23/16 14:34:16 1 9 0 4 3rd Ave Ste 1 0 5
<br /> AVS Code: Seattle WA 98101.3317
<br /> VISA Telephone:(206)689-4052 or 1-800-552-3565 Fax: (206)343-7522
<br /> <www.pscleanair org>
<br /> 11a Iiiti117241h1 ONSTRUCTION AND APPLICATION FOR APPROVAL
<br /> CVV2 Code; hl --__-_.-
<br /> 7nsdelap Agency review,su please fill out our application thorough!) , _.,-__
<br /> _ 1
<br /> APP. Code: 01911 Invoicett: 0002 _ .
<br /> ‘TING OPERATIONS FORM SCO
<br /> ictal; $ 115M - _.__.___.....__-._.
<br /> Date ; Reg No. NOG'No. I
<br /> Customer COPY i
<br /> THONK YOU! 2.Status of equipment(check) 3.Applicant Name&:Mailing Address:
<br /> .. T New 9 n-h -\t\w,."% -('
<br /> Li). +e._t-v, P-,.c.i C-r 6,..I Ili .��.liQ_c;4.ts
<br /> ❑ Existing i flat rn,,L.sty St-
<br /> 0 Relocation Phone No.: 42 c -Z9; -e+2 5-,z �
<br /> Ea .:a. ,t�l4'zrzc3
<br /> ❑ Modified 1l as^:n.: .42.s -•-44 Z-y 'f
<br /> Email Address: (-.1A 4..4.....Fa..4-0)0-<i2.41 ',. .at vrt,,
<br /> 'ling address S.Installation address(Include city&,zip code) —I
<br /> pAw'4'-ci<, IS tto1 Tr,..{u.rA-1-V SI-
<br /> 001 -c.... ,...}-1-ysI: i &Jed-al ' (A)4, -172c.,3
<br /> 'Phone No,: Z5'-?t,y2_ SrS "L
<br /> 9 ' Phone 49
<br /> �1 - 7zfZ— 5t 9 S iy
<br /> 'Fait No.: '47_5--Va.-5Fax No.: Li�S -'74/2 _-SL3C,
<br /> IF mad Address:r..V.4- +.+14( a..27)W„L.7+}-=›:t4,,(,Y, Emttil Address: C".C•* tam. ti-,tyv.,..,,
<br /> G.Nature of business: &-)s;0-r,s, b,.L .,L -— - i,,;t ..„1,Ns,a:,t t....—...4f] (.,u, vj.G,. o.F 1-1:,:.='c.r
<br /> ,I(Rt.0o,t-k.- pr"CsA v..e F-S 'k' E .
<br /> .,,.'(t .w .- .8 cis in•h-crtc>=v(i.
<br /> 7.Type of products being coated:
<br /> a.0 Aerospace h.0 Wood furniture e.0 Motor vehicles
<br /> d.- Other,describe: Po,-e._.(3,t .,%,--_t t...t,.+•-+c,} 1g'i 5rArte. . l, - .t.-__.-__.
<br /> 1 9. Daily work hours: 9. Days of operation(circle) 10. (louts ofspray coating per day
<br /> From S a.rn to- 5 p.m. S 666 066)E 6) '8—1 CJ
<br /> II. I Ins the local zoning authority approved this operation at this installation address?0 Yes 0 No '04.,12.)(aj
<br /> i 1. List zoning authority: '.'r`al-1/ r,/ t %.. `"r Contact Phone U:_(.__ ,-_ --
<br /> E 3. Has tile local Fire district approved this operation at this irtstal:mini)address'! 0 Yes 0 No A l
<br /> 1 14. List Fine District: 1
<br /> 4 g -S Contact Phone 4: t t -- •
<br /> Section II -Equipment Information
<br /> For any other process equipment being installed,i.e.abrasive blasting,sanding,or dust collectors,please attach a Form P.
<br /> I. Type of spray No.of Volume of Exhaust Manufacturer make and model No.
<br /> coating urea: units: enclosure(ci) rate Wm) ,.-: �• ,y.i* .,9
<br /> a. .Spray booth'room s " Ai+r > t
<br /> b. 0 Prep arca t i ll:' 44' }- t 6?70 t i. M e.s:f sf 5.
<br /> c. 0 Outside:pray area f-02;4 2Identify controls for this option,please
<br /> attach with Form SCO
<br /> d. ❑ Other(explain):
<br /> Attach a technical specification sheet for the equipment proposed for installation.
<br /> �
<br /> Exhaust system overspray control:
<br /> Y 't x p i'}. P-e..4.4-(,,,,
<br /> a. W`'Dry filter system. Make,and Model No.tillers
<br /> Mnuonteter or differential pressure gauge Installed: Chiles ❑ Ni
<br /> Pressure drop in tillers• _ ' ,0 inches of,wale+ I liter Removal I:Ificicncs,"6: `,'., t1
<br /> I
<br /> b.
<br /> 0 Water wash system. Flow meter installed: 0 Yes 0 No Water flow rate: eel per minute i
<br /> I--...._.._....__._....._ -_ ._.._._
<br /> Form 50.114 (06/28/12 ns)
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