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a FOR COMPLETING "A" <br /> GENERAL INSTRUCTIONS: <br /> SECTION 2711 OF TITLE 23,CHAPTER 16,CALIFORNIA OF REGULATIONS >,z•,413 SECTIONS 25286,25237,AND 25289 OF CHAPTER <br /> 6.7,DIVISION 20.CALIFORNIA STEALTH AND SAFETY C{ rE REQUIRE OWNERS TC.)APPLY FOR AN UST OPERATING PERMIT, <br /> I, One FORM"A"shall be completed for all NEW PERMIT CHANGES or any FACILJTYPSITE INFORMATION CHANGES, <br /> 2. SUBMIT ONLY ONE(1)FORM"A"for a Facility/Site,regardless of the number of tanks located at the site. <br /> 3. This form should he completed by either the:PERMIT APP MANT or the LOCAL.AGENCY UNDERGROUND TANK INSPECTOR, <br /> d. Please type or prism clearly all requested inforrmation: <br /> 5. Use a hard point writing instrument,y€su are making 3 c o,=hes. <br /> 6. Tank owner must submit a facility plot plan to the local a,mcy as part of the applic ,.sora showing the location of the USTs with respect to <br /> buildings and landmarks[Section 2711(a)(S),CCR(, <br /> �•7, 'Tank owner must submit documentation showing compic to with state financial r+vsponsibility requirements to the local agency as part of the <br /> application for petroleum USTs[Section 2711(a)(l I),Q(-pl. <br /> TOP OF FORM "MARK ONLY ONE ITEM" <br /> Roark an(X)in the box next to the item that best describes the reason the form i <br />