PEER ICE Supp App - Valley Air
San Joaquin Valley Air Pollution Control DistrictRule 4702 Internal Combustion Engines ReportingPlease complete one form for each stationary engine that is 25-50 horsepowerFacility InformationDate:Facility Name:Facility Location: District Facility ID# (if known):Facility Contact Person’s Name: Contact Phone #:Contact E-Mail Address:Stationary Engine InformationEngine’s Location (if not located at facility address):Engine Make:Engine Model:Engine Serial #:Engine’s Maximum (Intermittent) Power Rating:________________bhp Engine’s Continuous Power Rating:_______________bhp Combustion Type: FORMCHECKBOX Rich-Burn FORMCHECKBOX Lean-Burn FORMCHECKBOX Compression Fuel Type: FORMCHECKBOX Diesel FORMCHECKBOX Gasoline FORMCHECKBOX LPG/Propane FORMCHECKBOX Natural Gas FORMCHECKBOX Other (specify): Describe the Purpose/Intended Use of the Engine:Typical Engine Operating Schedule: hours per dayFuel Consumption for the previous one-year period: cubic feet or gallons (circle one) Please mail this form to:Brant Botill - SJVAPCD1990 E. Gettysburg Ave.Fresno, CA 93726Or Email to: inventory@ ................
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