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7j <br />PIPING INFORMATION <br />TANK# TANK# 2 <br />TANK# 3 TANK# <br />DISTANCE from <br />DISPENSER to TANK <br />t Stj 5 <br />d <br />MANUFACTURER <br />I SYSTEM TYPE* <br />P,2��ss -� - l <br />T p�..s <br />CONSTRUCTION <br />MATERIAL �'* <br />e l 13E: 1..A SS <br />LEAK DETECTION SYSTEM <br />- 2'C>c> -r <br />100% METHANOL COMPATIBILITY with <br />FRP <br />CORROSION PROTECTION <br />L,/.-.. s..S <br />* System Type; suction, pressure, and gravity <br />** Construction: single -walled, double -walled, lined -trench, etc. <br />*** Material Type; steel -iron, stainless-steel, fiberglass, etc. <br />26, X Piping (cross-sectional diagram, including connections to tank and dispensers). <br />X Double wall piping or _ Secondary containment (Trench liner, etc.) <br />X (1) Product line (leak detector or automatic shut-off on <br />pressurized piping). <br />k (2) Vent and vapor recovery lines if not designed to <br />prevent the entrance of standing fluids. (Ball float valve) <br />k (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, k State Water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. <br />28, X Plan review and operating permit fees paid. <br />29, X Monitoring and Response Plans submitted. <br />30. A Proof of financial responsibility on file. <br />31, N I A What is the approximate depth to ground water: <br />T (include source of information - borehole logs, monitoring well data, water <br />studies, etc.) <br />32. '1_-A Total number of tanks on site after installation: <br />33. X Any existing tanks to be removed or abandoned? YES E 7 NO �Q If yes, submit State Water Resources <br />Control Board "Facility Permit (B)" application form. <br />Responsible party(ies) shall submit a •Letter of Commitment` prior to the <br />installation of new tanks. (Applies to sites with documented soil and/or groundwater contamination) <br />35. ( County/City Fire District and Building Department notified. <br />36. REMARKS <br />--------------------------------------------------------------- <br />------------------------------------------------------------- <br />---------------------------------------------------------------------------------------------------------------------------- <br />--------------------------------------------------------------------------------------------------------------------------- <br />---------------------------------------------------------------------- <br />%/ <br />