General Order Application · l . General Order Application: Dl.PAR l ,\1LNl U I . Automobile Body Repair. ECO LOGY . and Refinishing Shops . INSTRUCTIONS . This application applies

$Page 1: General Order Application · l . General Order Application: Dl.PAR l ,\1LNl U I . Automobile Body Repair. ECO LOGY . and Refinishing Shops . INSTRUCTIONS . This application applies$
l

General Order Application DlPAR l 1LNl U I Automobile Body RepairECO LOGY

and Refinishing Shops INSTRU CTIONS

This application applies statewide for facilities under the Depai1ment of Ecology s jurisdiction yen ou_Jnust bull- I ~Jfill out the lorrn completely in order to obtain coverage ~

Read the Automobile Body Repair and Refinishing Shop General Order You can find it onl ine atJiJ https eco louywagovRegulations-Perm itsPermits-certi ficationsJ ir-Quahty-perrni tsJ ir-guali ty-general-orders or call the appropriate regional office (see below) for a copy

WFill out the application completely sign it and date it

ilJ Enclose manufacturer specification sheets for the paint booth that show design drawings For a custom booth submit exhaust blower specification sheets and design drawings

cent Enclose manufacturer specification sheets that show your exhaust filters meet 98 percent capture middot efficiency

~ Enclose a check to the Department of Ecology for the application fee

iz1 State Environmental Policy Act (SEPA) Compliance

D $500 application fee if SEPA review is complete - Include a copy of the final SEPA checklist and SEPA determination (eg DNS MDNS EIS) with your application

~ $785 application fee if SEPA review is required- If SEPA review has not been conducted please fill out a SEPA checklist and submit it with your application You can find a SEPA checklist online at httpsecologyvva govRegulations-PerrnitsSEPAEnvironmental-reviewSEPJ-guidance

Department of Ecology - middot- middot- middot- middot- middot- middot- middot-middot- middot- middot- middot-middot -middot - middot- middot- middot-middot-middottpf Mail the complete application package to I For risca OJice Use On lrCashiering Unit I 00 I-NSR-216-0299-000404

IPO Box 47611 I

~-- middot- middot- middot-middot- middot-middot-middot- middot-middot- middot- middot-middot-middot- middot- middot- middot- middotOlympia WA 98504-761 l

Check the box for the location of your proposal For assistance call the appropriate office listed below

~ ~- (()

3 ~

( - -a ~

tj )

( --

Chelan Douglas Kittitas Klickitat or Okanogan County Ecology Central Regional Office (509) 575-2490

Adams Asotin Columbia Ferry Franklin Garfield Grant Lincoln Pend Oreille Stevens Walla Walla or Whitman County middot Ecology Eastern Regional Office (509) 329-3400

v-m San Juan County0 () middotEcology Northwest Regional Office (425) 649-7000 rn

Fcfi~~ctions taken at Kraft and Sulfite Paper Mills and Aluminum Smelters only

~~-

I- Ecology Industrial Section (360) 407-6900 )

For actions taken on the US Department of Energy Hanford Reservation only Ecology Nuclear Waste Program (509) J72-7950

CRO

ERO

NWRO

IND

NWP

ECY 070-309 (Rev 12019) Page 1 of 3

II COMPANY INFORMATION

1 Company Name T ( - c_ I +I ~ s Cc) i I ~ C

2 Company Mailing Address (street city state zip)

3 Facility Location (if different than company mailing address) 4 County

~ d )0 fJ SLu I I I o lJ ( V lt

5 Company Contact Person Title 6 Company Phone Number 7 Company Fax Number

middotfltv~ S Evlt~ O l-l V eJ 501 - 7 I o - 1 o 93 8 Contact Person Phone Number

So 9-7 I D c7 0 73

10 Facility Contact Person Title 11 Facility Contact Perso hone Number

Tf-J ~~ EJ A-nS ()W (-e_r 50lt-to r 9o93

III PROCESS INFORMATION

1 Approximate quantity of all solvents and paints purchased annually 3 0 Gallons (To qualify for co verage you must use less than 950 gallons of solvents and paints annually)

2 Do all of the spray guns you use have transfer efficiencies at least equal to high volume low pressure (HVLP) designs Yes 0No (To qualify for coverage all spray guns must ave transter eflici encies equal to HVLP designs)

3 Do you conduct all spray gun cleaning in an enclosed apparatus [g)Yes No

Specify gun cleaner manufacturer and model number Jv1llt ubllo (To qualify for coverage all spray gun cleaning must occur in an enclosed spray gun cleaning apparatus)

IV PAINT BOOTH INFORMATION Paint Booth L Paint Booth 2 Paint Booth 3

1 Installation date (If an existing source give the

date the paint booth was constructed)

Ae_r I 3 I cl

2 Exhaust fan rating and manufacturer

information

Standard Cubic Feet per Minute (SCFM) Rating

jl OO d



Manufacturer and Model (rltI (( C~ t =_

Crl~olt~11 - A

Manufacturer and Model Manufacturer and Model

3 Paint booth exhaust stack release height

above roof line (Musl be al least 35 feet above roof line)

t-[ feet feet feet

ECY 070-309 (Rev 12019) Page 2 of 3

-----------------

4 Inside exhaust stack dimensions

5 Docs the exhaust stack vent

vertically If no explain

6 Is the exhaust vent non-restrictinggt

(ie There is no rain guard that covers the top of the exhaust stack that impairs air dispersion)

If no explain 7 Exhaust filter area

dimensions

( If entering dimensions of entire filter area please input one for number or filters)

Rectangular exhaust

length (in)

vidth (in)

or

Circular exhaust

middot~ o diameter ( in)

~Yes No

12fYes No

ltDf length (in) 3 II

(pound1 width (in)

I number of filters

Rectangular exhaust

length (in

width (in)

or

Circular exhaust

diameter (in)

0Yes No

DYes No

length (in)

width (in)

number of filters

Rectangt1lar exhaust

length (in)

width (in)

or

Circular exhaust

diameter (in)

0Yes No

DYes No

length (in)

width (in)

number of filters

8 Exhaust filter capture efficiency

(Sec page I checklist) 1C ~ capture efficient ___i capture efficient ___ capture efficient

I

9 Does this paint booth have a heating

cycle Specify BTUhr rating and

fuel type (if applicable) or

indicate if electric

121Ycs No I

0Ycs No 0Yes 0No I

I I

V SJGATURE BLOCK I ce1tify based on infonrntion and belief formed after reasonable inquiry thlt s1ateme11ts anJ information in this application are h11e accurak anJ complete

10Printed Name T ~ L -J ) f v A A S Title (5w n c r

Sign at ur c U Date ~ 5 oJb I 9 ------------~

To request ADA accommodation call Ecology at (360) 407-6800 711 (relay service) or (877) 833-6341 (TTY)

ECY 070-309 (Rev 12019) Page 3 of 3

30bull FAN 16000CFM TUBEAXLE DRIVEN BY SHP ELECTRIC MOTOR

208220V 3PH OR 220V 1PH TOP VIEW

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VENT EXHAUST TO ROOF

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REAR VIEW FRONT VIEW

ELEVATIONS Amerl-Cure inc 150 N PASADENA ST

GILBERT ARIZONA 85233 (800)572-2873 ( 480)763 -6899 (Fax)

OD The Web ~www~ 8

VENT EXHAlJST TO ROOF

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(~Ameri-Cure Inc -gtmiddot

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Air Filter Testing Laboratories Inc 4632 Oki LaGrangi Road Phone 15021 222-S 720

i Hl)RT rW pound~8 TEST NO

lluil L UHS-IOR ~LID mt Imiddot )IH-iW_ TEST --- ---

TFS lEQUFSrrm f _ 4v2e~__cZ__--T-~---~--middot-2middot-----~--~----shy

MMUFACTURFflt t NORE4pound H--fefpoundi_ -----~----~~--

PRODUCT NutF __h_e-frac12lt--~--frac14--~4______~--~------~-------

HOW rAJroRATORY fl(ClJRED TESl gtMHLE __8__e~~Vpound-0 ampfrac12WPamptA-(

HlJUU 00 t efc( 01-1HlT()l~ __amp4_w H ~ -c _2lt-r [t

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DESC RI Tl_~ n~ ] clT l S rn 6rUL_amp~_Ad_ ~FltL 1f-ltV4_q(elaquo-7

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WR-1HT bull~AiI PAIif 1ElRES10~ riD___ 2Cf- __ _

(nfigttn Rlli Orbull FILl11 ARJiiSTOk PJ~1 ----- 11

r HlL -iRlltEs-aJKpound ftLT~R~ middotfi rin i~All -- -- 9 ( _c~1

lUTAl WEIGHT PArnT 1f~ t DR r~SH)___ ~_g_1tf1-gt_rrl

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~sAfift Air Filter Testing Laboratories Inc --- 4632 Old LaGrange Road bull Crostwoocl Kimtucliy 40014 bull Phone 1502) 222-720

REPQRT ~- ~20 TEST 00_S-9 ___

PP lffl AK~tSl[J~ l0 ~rlrnkMANCE TESI

TEST REQUESTED BY ~LJRspE ~rceI MIINIJfACTURER ~ t9r-atzltfpound4i ~~ffRf lROm1rT tuME LP~lt~ HOW LAaa~11TOR PR(l(IJIOEO iEST SIJillLf ~~ i tbullp~

MOllEL ND=---~---- D IMtmiHJN0 _zo_ H

lROuct DESGRIPtHJK ~a~ o~e ~e ry-Peuro

t91R Pt[5e W(it_ e~)0Sff~ OPYdegZtl ampA)

Ae Y(IvNtJ Pampe IllSt cmm 1T WHS l

TEST AIR FLOil RATE

PAINT t--FtgtLICAnoN Rdeg1n L rprL4ltUJ~v ORSCRtPTIOtf OJI PllNT USED ~ G--4 ampPJ W ltgtltP

~ H 4pound4J(~I~ di VP~PiwE

1IEiCIT CAIN PAL~T ARRfSTO Jiti 2 J62 GH

nNAf~ ARIIJSTAlfCE FILTHS WEICUT CArN_____Z i ltM

tOTJU WElCKT lAlffT FED DRY JlA~tS)____ 1pound59 cZ__G-

FJNAI REamp [SlllNC~ fJIllT L(IAIJED FUTKR t)S JtL LG

H RFORHMICR m CHANGF OIJT H~ r- T__tw~ -- CL)-middot----1H I C

AVHRAGE PJIIIT RfflOVJi 1 EttrlC llNC( 19--8 ( l C 7 LB5

DATI_ _9---~-pound__-__---47_i~8~----

II COMPANY INFORMATION

1 Company Name T ( - c_ I +I ~ s Cc) i I ~ C

2 Company Mailing Address (street city state zip)

3 Facility Location (if different than company mailing address) 4 County

~ d )0 fJ SLu I I I o lJ ( V lt

5 Company Contact Person Title 6 Company Phone Number 7 Company Fax Number

middotfltv~ S Evlt~ O l-l V eJ 501 - 7 I o - 1 o 93 8 Contact Person Phone Number

So 9-7 I D c7 0 73

10 Facility Contact Person Title 11 Facility Contact Perso hone Number

Tf-J ~~ EJ A-nS ()W (-e_r 50lt-to r 9o93

III PROCESS INFORMATION

1 Approximate quantity of all solvents and paints purchased annually 3 0 Gallons (To qualify for co verage you must use less than 950 gallons of solvents and paints annually)

2 Do all of the spray guns you use have transfer efficiencies at least equal to high volume low pressure (HVLP) designs Yes 0No (To qualify for coverage all spray guns must ave transter eflici encies equal to HVLP designs)

3 Do you conduct all spray gun cleaning in an enclosed apparatus [g)Yes No

Specify gun cleaner manufacturer and model number Jv1llt ubllo (To qualify for coverage all spray gun cleaning must occur in an enclosed spray gun cleaning apparatus)

IV PAINT BOOTH INFORMATION Paint Booth L Paint Booth 2 Paint Booth 3

1 Installation date (If an existing source give the

date the paint booth was constructed)

Ae_r I 3 I cl

2 Exhaust fan rating and manufacturer

information


jl OO d



Manufacturer and Model (rltI (( C~ t =_

Crl~olt~11 - A

Manufacturer and Model Manufacturer and Model

3 Paint booth exhaust stack release height

above roof line (Musl be al least 35 feet above roof line)

t-[ feet feet feet

ECY 070-309 (Rev 12019) Page 2 of 3

-----------------







dimensions


Rectangular exhaust

length (in)

vidth (in)

or

Circular exhaust


~Yes No

12fYes No


(pound1 width (in)

I number of filters

Rectangular exhaust

length (in

width (in)

or

Circular exhaust

diameter (in)

0Yes No

DYes No

length (in)

width (in)

number of filters


length (in)

width (in)

or

Circular exhaust

diameter (in)

0Yes No

DYes No

length (in)

width (in)

number of filters



I





121Ycs No I

0Ycs No 0Yes 0No I

I I





ECY 070-309 (Rev 12019) Page 3 of 3



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-----------------







dimensions


Rectangular exhaust

length (in)

vidth (in)

or

Circular exhaust


~Yes No

12fYes No


(pound1 width (in)

I number of filters

Rectangular exhaust

length (in

width (in)

or

Circular exhaust

diameter (in)

0Yes No

DYes No

length (in)

width (in)

number of filters


length (in)

width (in)

or

Circular exhaust

diameter (in)

0Yes No

DYes No

length (in)

width (in)

number of filters



I





121Ycs No I

0Ycs No 0Yes 0No I

I I





ECY 070-309 (Rev 12019) Page 3 of 3



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DATI_ _9---~-pound__-__---47_i~8~----

Documents

General Order Application · l . General Order Application: Dl.PAR l ,\1LNl U I . Automobile Body Repair. ECO LOGY . and Refinishing Shops . INSTRUCTIONS . This application applies