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STATE OF CALIFORNIA WATER RESOURCES CONTOL BOARD <br /> FORM 'A': <br /> UNDERGROUND STORAGE TANK PROGRAM = " ' <br /> SITE FACILITY/SITE, INFORMATION and/or PERMIT APPLICATION Io <br /> COMPLETE THIS FORM FOR EACH FACILITY/SITE <br /> MARK ONLY ❑ 1 NEW PERMIT ❑ 3 RENEWAL PERMIT ❑ 5 CHANGE OF INFORMATION ❑ 7 PERMANENTLY CLOSED SITE N <br /> ONE ITEM ❑2 INTERIM PERMIT ❑ 4 AMENDED PERMIT ❑ 6 TEMPORARY SITE CLOSURE <br /> I. FACILITY/SITE INFORMATION & ADDRESS — (MUST BE COMPLETED) <br /> I+ <br /> FACILITY/SITE NAMECARE OF ADDRESS INFORMATION <br /> C r a ru _k" <br /> ; <br />