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t . <br />ar nTn T"c TUCMIUATTM <br />PIPING INFORMATION <br />TANN1K# ( <br />TANK# <br />TANK# TANK# <br />r® <br />WSTANCE from <br />DISPENSER to TANK <br />ave <br />MANUFACTURER <br />jq — Ci - <br />SYSTEM TYPE * <br />e <br />! <br />CONSTRUCTION *' <br />MATERIAL *�* <br />LEAK DETECTION SYSTEM <br />sa[ <br />k iegj <br />100% METHANOL COMPATIBILITY with <br />�S <br />FRP <br />CORROSION PROTECTION <br />F%G <br />#4A JCAIN S <br />* System Type; suction,pressure a rave <br />** Construction: single-waT a double-waltetl tined -trench etc. <br />*** Material Type; steel -iron, stainless-steel, fiberglass, etc <br />26. Piping (cross-sectional diagram, including connections to tank and dispeosers). <br />Double wall piping or _ Secondary containment (Trench liper, etc.) <br />(1) Product line (leak detector or automatic shut-off on <br />pressurized piping). <br />to (2) Vent and vapor recovery tines if not designed to <br />77Tj--�--- prevent the entrance of standing fluids. (Ba,l float valve) <br />(3) Manways and other single walled pipe fittings on a <br />/ double -waited tank, if not designed to prevent the <br />entrance of standing fluid. <br />27. State Water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. <br />28. Plan review and operating permit fees paid. <br />24. ✓ Monitoring and Response Plans submitted. <br />30. 44d^ Proof of financial responsibility on file. <br />31. What is the approximate depth to ground water: <br />(include source of information - borehole togs, monitoring well data, water <br />studies, etc.) <br />32. Total number of tanks on site after installation: 3 t� s <br />33. Any existing tanks to be removed or abandoned? YES NO ( I if yes, submit State Water Resources <br />/ Control Board "Facility Permit (B)" application form. <br />34. 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. YCC? County/City Fire District and Building Department notified. <br />36. -S G®a�r�t'o®N5 <br />°'------- - -Y----_-_ -4 _13----------�=-='i==_Tsa__t._�3acz7_ _?=®_r?'S_e <br />-- - •--- <br />------®FFA--------------- <br />---------------------------------- <br />---------- <br />--------------------------------------- <br />7 <br />