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CONTAINER 46 <br /> CONSTRUCTION <br /> O1 RUBBER LINED STATE <br /> (X) 07 UNLINED ( ) 02 ALK YO 10 NUMBER 00000037907003 <br /> ( ) 08 UNKNOWN L0 ( ) 03 EPDXY <br /> 01 POLYETHLENE WRAP 09 OTHER: LINING ( ) 04 PHENOLIC <br /> ( 1 Ob TAR OR ASP ( ) 02 VINYL LINING ( ) 05 GLASS <br /> HALT WRAPPING LINING <br /> ( ) 09 OTHER: ( ) 03 CATHODIC PR07EC720N (X) 04 UNKNOWN <br /> VI PIPING <br /> ( ) OS NONE <br /> A• ABOVEGROUND <br /> PIPING <br /> (CHECAPPROPRIATE:BOX(ES) ( ) 01 DOUBLE-WALLED p1pE <br /> K <br /> 8, UNDERGROUND PIPING: ( 1 04 PRESSURE ( )'PE <br /> f ) 02 CONCRETE- <br /> SUCTION ( ) 06 UNKNOWNLINEO TR( ) ( ) 03 GRAVITY <br /> (CHECK APPROPRIATE.BOX(ES) ( 1 01 DOUBLE-WALLED PIPE <br /> (Xl 04 PRESSURE ( 1 07 NONE <br /> ( ) 02 CONCRETE-LINED TRENCH ( ) 03 GRAVITY <br /> V I I LEAK ( ) 05 SUCTION ( ) Ob UNKNOWN <br /> DETECTION f ) 07 NONE <br /> ( ) OVISUAL (X) 02 STOCK INVENTORY <br /> ( 1 06 GROUND WATER MONITORING WELLS ( <br /> 1 ( ))04 VAPOR SNIFF WELLS <br /> 07 PRESSURE TEST ) 05 SENSOR INSTRUMENT <br /> li VIII CHEMICAL COMPOSITION OF <br /> ( ) 09 NONE ( ) 10 OTHER: <br /> IF YCU Ce£CKED YES TO IV-F YOU ARE N07 RMATE MATERIALS STORED IN UNDERGROUND <br /> CURRENTLY Fp!L'IOUSLY DELETE CAS- !IF KNOWN) 0 COMPLETE THIS SECTION <br /> CONTAINERS <br /> STORED STOPED CHEMICAL (p <br /> 0 NOT USE COMMERCIAL NAME) <br /> ( ) 01 ( ) 02 ( ) 03 <br /> It ) 01 ( ) 02 ( ) 03 <br /> ( 1 01 f 1 02 ( ) 03 <br /> ( 1 01 ( ) 02 It 1 03 <br /> ( ) O1 ( ) 02 ( ) 03 <br /> ( ) 01 ( 1 02 ( 1 03 <br /> O 01 It l 02 O 03 I I l f l l <br /> ( 1 01 ( ) 02 ( ) 03 <br /> ( ) 01 ( ) 02 ( ) 03 <br /> f 1 01 It ) 02 ( ) 03 <br />* CHECK STATE BOARD CHEMICAL CODE LISTING R POSSIBLE SYNONYMS <br /> S CONTAINER LOCATED ON AN AGRICULTURAL FAR( If ) 01 YES (X) 02 NO <br /> IS FORM HAS BEEN COMPLETED UNDER THE PENALTiF PERJURY AND, TO THE BEST OF MY KNOWLEDGE, IS TRUE AND CORRECT. <br /> EPSON FILING (SIGNATURE) <br /> PHONE W/AREA CODE <br /> OR LOCAL AGENCY USE ONLY <br /> DMINISTRATING AGENCY <br /> CITY CODE <br /> COUNTY CODE <br /> ONTACT PERSON <br /> PHONE W/AREA CODE <br /> ATE OF LAST INSPECTION�COMPLIANCS, ERMIT APPROVAL DATE 1 02 N( TRANSACTION DATE LOCAL PERMIT ID - <br /> SCV4-070185 (10/18/85) <br /> PAGE 2 <br />