HomeMy WebLinkAbout15241 Transistor Ln - CofO (3)SUPPLEMENTAL. INFORMATION
1.
BUSINESS ADDRESS 15.241 TRANSISTOR LANE
2.
Person to contact in caseof amergency• SCOTT CLELAND
Telephone number. (714) 675-5439
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I 3.
Does the building in question have electricity?
Yes
'
❑ No
(a) If No, are you requesting - that the electricity be
❑ Yes
turned on?
❑ No
&
4.
The building is sprinklered?
Yes
�❑ No
' 5.
,.
Operations will 'produce dust/wood,shavings or 'similar
material?
❑ yes
g
XNo
i
6.
Operations will involve the repair or replacement of
❑ Yes
automobile parts?
No
•
If Yes;
(a) Describe the components repaired or replaced.
i� Yes
1
(b) Does the operation involve the use of an ; open flame?
7.
The business is drinking, dining or assembly use that will
j,
result in an occupant load of more than 50 persons.
❑ Yes
XNo
8.
The following best describes my operation;'
'
Office, Only
Retail Sales
{
a
r litiuse
Manufacturing,/ Distribution (describe process and end product)
WAREHOUSE, DESIGN & SHIP - NO MANUFACTURING
Rest?--'- ant / Take Out Food
Medical / Dental
{
Other (describe)
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SUPPLEMENTAL INFORMA110N
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SUPPLEMENTAL INFORMATION (Continued)
Does
the operation involve any of the following materials? ElYes
`b,(N
o 1
if Yes, indicate quantities:
Quantity
Material
-1. Flammable liquid's
Class I -A j
Class 1-8 i
Class I-C
i 2.
Combustible liquids
Class Ii
Class 111=A
3.
Combination flammable liquids
4.
Flammable gases 4
5.
liquefied flammable gases l
6.
Flammable fibers - loose
7.
Flammable fibers - baled
8.
Flammable solids _
9.
Unstable materials 1
10.
Corrosive liquids
11.
Oxidizing material- gases
12. `
Oxidizing material - liquids
13.
Oxidizing material - solids
° 14.
Organic peroxides
:.
15.
Nitromethane {unstable materials} _—
16. __
Ammonium nitrate ='
17.
Ammonium nitrate compound mixtures
containing more than 60% nitrate
by weight
18.
Highly toxic material and
poisonous gas
19.
Smokeless powder —
20.
Black sporting powder
hereby cert'sfy that the above information is true and correct to
the best of my knowledge.
" Signature Date
.Sc`oTi �'GEG9� .
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i
.Jil Vl LL.LV 4L LLLV 1CLV111 L�' `4AV1LLV111�, 111V LVl Y V111VLV J�: L J
3. Will operations at the facility involve mixing, blending, or processing of
L;I
solvents, adhesives, paints or coatings? [ ]
[
4. Will dust or smoke be generated at the facility? [ ]
5. Will refining of any liquids or solids be done at the facility?' [ ]
6.; Will any plating or coating of materials be done at the facility? [, ]
7. Will any combustion equipment rated greater than 2000,000 BTU/1r be
operated at the facility? [ ]
8. Will any acids, solvents, or motor fuel be used or stored at the facility? [ ]
[ i
9. Will any organic liquids or gases be reacted or produced? [ ]
[
10. ` Will any ovens be used to dry or cure products at the facility? [ ]
11. - Will any CFC(Freon) recycling machines operate at the facility? ( 1
Applicant: SC &TT eLEeA v,) Signature
(Print name clearly)
i
If you have marked "NO" in all the boxes, an air quality permit is not needed at this time,
f
and this checklist is your written release.
If you marked "YES" in any of the boxes, you must contact the South Coast Air Quality
i
Management District (OMO). Please read the requirements on the back of the checklist".
(800) 388-2121
ADDITIONAL' SUPPLEMENTAL' INFORMATION