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INSTRUCTIONS FOR. '^t,: M. La.,.r I€, a ae,az- <br /> EN`E�Gt_ I Tk`,. .Y, -. <br /> B libr c:,n- each t arik for, all NEW PERMITS, PERMIT CHANGES„ REMOVALS and/or any <br /> fEt TAN 'NE0RJ1 ll0si CRANIG1:. <br /> T,1 <br /> �. J form .,r Jal,i, bc, r�:� ��:���� , e=r i Per the PERMIT APPLICANT or the LOCAL AGENCY UNDERGROUND TANK <br /> IN PEOTTR. <br /> �, <br /> �r. ,p.,r. ,, r, „� �a ° y „ , . , e,st n�,-rr � ion. <br /> ?� g .4 .. <br /> T, hrye c'3 I ri4 gti;J'l �t ""�s tl rs,rt.Imont . You are making 3 copies. <br /> TOP OF FORM: 'MARK ONLY ONE ITEM" <br /> ?- Mirk. an `X) "I ti ox n.-,,X'L t c) E 0 i ht best describes the reason the form is being completed. <br /> Indicale the DBA or, y 1 aine where the tank is instal l ed. <br /> I. ..TANK DESCRIPTION ., COMPLETE ALL ITEMS - IF UNKNOWN m SO SPECIFY <br /> A, Jnd} "(' owners Lint, 11) a - i ( there is a lank numbcEr that 'is used by the owner to -identify the tank <br /> (E'i rlilll 'Ei`) <br /> ). <br /> B. Indicate the name of the, company that manufactlured the tank (ex. ACME: TANK MFG). <br /> C irl,ilcat,r` 010 ye„" the tar'k was. ?n`t.al l('^d (ex. 1,987) <br /> i? ., lx {e.r11 ns (ex. 25,,,000 (,ar 10,000 etc.) <br /> I I. SANK CONTENTS <br /> PMTS <br /> A, 1 a1 M(; <br />