COMPLIANCE INFO_1998-2006 - Laserfiche WebLink

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INSTRUCTIONS FOR COMPLETING FORM "B" GENERAL INSTRUCTIONS edtion 2711 of Title 23, Division 3,Chapter 16, California Code of Regulations and sections 25233,25237, and 251289 of Chapter 6.7, Division 20,Health and Safety Code require"tank owners to apply for ars LIST"operating permit. 1, One FORM `E F"shall completed for each tank for all NEW PERMIT , PERMIT CHANGES, PEM V- . ALE and/or any other TANK INFORMATION CHANGE. 2. 1 this formshould be completed by either the PERMIT APPLICANT or the LOCAL AGENCY UNDER- GROUND TANK INSPECTOR. . Please type or print clearly all requested information. Use a herd point writing instrument,you are.making 3 copies. Tarek owners must submit a plat plan to the local agency showing the location of the US17s,with respect to buildings and landmarks(2711 (a)(8)CCP). 6. Tank owners must submit documentation showing compliance with state financial resp(. .,i ility require- ments encs to the local agency for petroleum LI Ts[2711 (a)(11)CCR). TOP OF FOSM: MARK ONLY ONE ITE 1. Mark am(X)In the box next to the item that'best,desodbes.ther reason the form is bs _ 2. Indicate the DBA or Facility name where the tank is,installed. . TANK DESCRIPTION - COMPLETE ALL ITEMS - IF UNKNOWN SPEC I , A. indicate owners tank ID#-If there is a tank number that'Is used bythei owner to lden,";