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S <br /> APPLICATION FOR A PERMIT TO CONSTRUCT <br /> A. Total number of tanks to be installed <br /> B. Type of primary containers: <br /> Double or Material to <br /> Tank / Manufacturer Composition Capacity Single Wall be Stored <br /> or- <br /> Attach <br /> rAttach additional sheets as needed for primary containers. <br /> C. Typeeo secondary containment: <br /> C ✓ D Double Wall Tanks Flexible Liner (liner thickness) <br /> Vault Other <br /> Manufacturer �PrxPs or O/G <br /> If other than Double Wall Tanks, will all tanks be in the same secondary containment <br /> enclosure? Explain <br /> Will a system be installed to de-water the containment area? Explain Q✓/t�p- <br /> D. Tankak detection/monitoring system: <br /> 1 ✓� Continuous monitoring device within the secondary containment, connected to an <br /> audible/visual alarm system. <br /> Manufacturer —�on Rr 76 VS ( c Cr <br /> C -I_I Daily manual monitoring of the space between the primary and secondary contain- <br /> ers using "dip stick" readings or visual determination. <br /> odd Please specify: _ _ C�i Se�,Ps 7ovo % /ems , co / C -T <br /> Daily Inventory Control/Records reconciliation (for motor vehicle fuels only) <br /> NOTE: If daily gauging and records reconciliation is to be used as the monitor- <br /> ing system, a letter from the property owner must be provided to this Department <br /> outlining the frequency and method of monitoring the space between the primary <br /> and secondary containers, as well as a statement that the tanks will be tested <br /> using an approved testing method every year. <br /> Other.. Explain <br /> II-I <br />