HomeMy WebLinkAbout15131 Triton Ln - CofO (52)R
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SUPPLEMENTAL . INFORMATION (ontrhue )
11 �+/�4'.•i� Fe itDy I$ff tY4 A'idS}ptJ r.XR4i .� of the �A'SilF1i.� 'Xi.S✓i�Le.°.
No,
r r< lrr €i gat uAntlt#es:
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%.
Flammable liquids
Class t#t
.
'0 n ustible lfq� d
.,
class ll
Clasp t;1'
Oombinatible
4-
Flammable uses
,
Liq4efledflammable uses
6t '
Flam alale fibers ease
Ftammable tibens - baled
Flammable solid
MJnstable materials
-sive., liquids
t #'`
Oxldiz'ng m4forial - gases
t2.
xidi n aterlai lic�.i,�ids
m
3�.
C9xicFing ratrtat-�zllds
14.
Organic peroxides
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3�
, r . Sout
is
f .',Coast
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SIR lbALITY NAG ENT DISTRICT
21865 E. Copley Drive, Diamond Bar, CA 91765-47 82 (909) 396-90,00
.,L-3.%_3ia. lJ.t".ii.JAT3. IPE T C13-a CIMIS
for nonresidential, buildings only;
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Company Name:
I ocaticn of <'roperty:: 1 l r�--2i cZD �—P l C)
City Zip Code:
Contact Person:; ; L t-V1 � tSV1 Title;
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Telephoane Number: _� t i ��� i � �� Fax Number: �i � �` �� � ���
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Type of,,IndustryrBusiness:!I-
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To a 1 fur a nonreszden4aal buildin permit, you must com lets this ehecklrst. If you have an
PPy_ building. ,y P y y
questions about completing this checklist, please call (800) ;388--2121.
YES
NO
Will the facility liave a charbroler? [
[
2. Will any internal,crmbustion engine Nvith greater than 50 horsepower
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operate at the facility (excluding .motor vehicles)? (]
3. Will operations atthe facility involve mixing; blending, or processing,of
solvents, adhesives, paints or coatings?
4. Will dust or smoke be generated at the facility? [ ]
[
5. Will ,refining of an liquids or solids be done at the facility!
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6. Will any plating or coating of materials be done at the facility? [
7. Will any combustion equipment rated.greater than 2,000,000 BT,U/hr be
operated at the facility? [ ]
['
8. Will any acids, solvents, or motor fuel be. used or stored at the facility?
. l any'.o�gani6 liquids or gases be reacted or produced?
10. Will any ovens be used to dry, or cure products. at the facility? [ 1
[
Fill any C1i G (Freon) recycling machines operate at`the facility?
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Applicant:
Y l krt C, ' l tXi c signature.
�.
(Print name cli mz'ly)
If yeu.have marked "NO" inAll the boxes, an air quality permit is needed at this one,
and this cheeklisg is your written release.
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If you masked "'YES" in :any of th- boxes, you MUSt contact tine South Coast Air Quality
l fauagement IDisti iet (A QMD). Please read the requirements on the back of the eheckiist.
04?) 38-2121
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