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25. PIPING INFnRNATinN - <br />- <br />PIPING INFORMATION <br />TANK# <br />TANK# 2 <br />TANK# 3 TANK# <br />DISTANCE from®� <br />DISPENSER to TANK <br />y <br />jjTj <br />If yes, submit State Water Resources <br />' !/6&" *k i ` &bow <br />MANUFACTURER An <br />SYSTEM TYPE * i (� ��5�� <br />installation of new tanks. (Applies to sites with documented soil and/or <br />groundwater contamination) <br />CONSTRUCTION <br />\tl <br />G51W <br />MATERIAL *** tP G) ASS <br />F <br />LEAK DETECTION SYSTEM <br />% METHANOL COMPATIBILITY with <br />FRP <br />, <br />E� <br />CORROSION PROTECTION <br />* System Type; suction,rep ssure, and gravity <br />** Construction: single -walled, double -walled lined -trench, etc. <br />*** Material Type; steel -iron, stainless-steel, fiberglass, etc. <br />26. V/ Piping (cross-sectional diagram, including connections to tank and dispensers). <br />V Double wall piping or _ Secondary containment (Trench liner, etc.) <br />V' (1) Product line (leak detector or automatic shut-off on <br />pressurized piping). <br />(2) Vent and vapor recovery lines if not designed to <br />prevent the entrance of standing fluids. (Ball float valve) <br />(3) Manways and other single walled pipe fittings on a <br />double -walled tank, if not designed to prevent the <br />entrance of standing fluid. <br />27. V/ State Water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. <br />28. \� Plan review and operating permit fees paid. <br />29. Monitoring and Response Plans submitted. <br />30. Proof of financial responsibility on file. <br />i <br />31. What is the approximate depth to ground water: ( "� <br />(include source of information - borehole logs, monitoring well data, water <br />studies, etc.) ON ----RR- Y&LL <br />32. <br />_1/ <br />Total number of tanks on site after installation: S <br />33. <br />34. <br />y <br />Any existing tanks to be removed or abandoned? YES ( ) NO P0 <br />Control Board "Facility Permit (B)" application form. <br />Responsible party(ies) shall submit a "Letter of Commitment" prior to the <br />If yes, submit State Water Resources <br />' !/6&" *k i ` &bow <br />installation of new tanks. (Applies to sites with documented soil and/or <br />groundwater contamination) <br />35. <br />\tl <br />County/City Fire District and Building Department notified. <br />36. REMARKS <br />------ 41 %L_ 1 /qj_ _ _ t1c'4rt? �2 _L OrVlv!.%� <br />Z?___2j____i. <br />LG!C,L _ <br />_�2 th1-----11Y_ T_t����t7_!� ----(X11.4 __�Y.R7_=---'!s?Cll_ ?[�?=__J!1J_�T_H_.-.�_ 69i1/ 11. ....... <br />--A_TI Q N_-J.---------------------------------------------------------------------------------- ------ ----- <br />7 <br />