HomeMy WebLinkAbout15087 Goldenwest St - CofO (2)r
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South Coast
Air Quality Management District
21865 Copley Drive, Diamond Bar, CA 91765-4182
(909) 396-3529 • http:// www.aqmd.gov
Air Quality Permit Checklist
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California State Law Code 65850.2 prohibits cities from issuing an occupancy permit to a
business without clearance from the local air quality agency. This checklist will determine if you
need to obtain clearance from the South Coast Air Quality Management District (AQMD).
Company Name: L I FC- S� YL i' P k X Tvt P-E-5
Property Address: 15DE? C-7 oLDC-ri wE-57 S7
City: E40N—Of<-?TsO 13C-q
Contact Person: 7F-t6MA-S' PHi}nJ
Type of Business: 12z--7A-!L
Fax Number:
Zip Code: CA 22X�-6 7
Title: 14AtaAt�'C72-
Telephone: '7/V- 6z-r4 79/ J
e-mail address:
Applicant (print name): THomL,�S MAJ Signature: 2Aff Ln.-,C
Date: _�-- J. 2 - zoo 3
• Will the facility have any of the following equipment? Yes ❑ No)z
Charbroiler
Dry cleaning machine
Spray booth
Printing press (screen/lithographic/flexographic)
Internal combustion engine greater than 50 HP (excluding motor vehicles)
Boiler/combustion equipment (greater than 1 million BTU/hr. maximum input)
Abrasive blasting cabinet/room
Baghouse/cartridge-type dust filter/scrubber
Motor fuel storage and dispensing equipment
Will any of the following operations be performed? Yes❑ No�<
Application of paints or adhesives
Etching, plating, casting, or melting of metals
Molding, extruding, or curing of plastics
Mixing and blending of liquids and/or powders
Storage of acids, solvents, organic liquids, or fuels
Production of fumes, dust, smoke, or strong odors
If you answered "No" to both questions, this checklist is your clearance from AQMD. If
you answered "Yes" to either question, you must contact AQMD to determine if air quality
permits are required. If permits are needed, AQMD will assist you in submitting permit
application(s) and then provide you with a clearance letter. You can call AQMD at their Small
Business Assistance Office at 1-800-CUT-SMOG (1-800-288-7664).
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