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JUt_-24-96 WED 07 : 12 PM SCOTT 19163666908 P. 07 <br /> 7-23-1996 3:06PP I FR011 o. 3 <br /> STATE OF CALNIORA4 <br /> STA"WATER RESOURCES CONTROL BGARD <br /> UNDERGROUND STORAGE TANK PERMIT APPLICATION•FORM 8 ��+ <br /> COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM. <br /> SIM ONLY 1 NEW PEAAIrr 3 RENEWAL PVWM C) 1 04AWA 00 IMMOPMAT04 � r PG40NENTLY CL069D ON SITE <br /> ONC MM Z www MimmT C9 a AMENDER pElMT Cl a mMPORAJIV TAMC CLOSURE 8 TANK AEMOYLA <br /> DAA OA FACILITY NAME WNME TANK IS finTA LED: <br /> L TANK DESCRIPTION cnw qHm ALL IT=w- stews IF uNxNONrh <br /> A.OVwn TAW I.0.i * S B, MANUXAGTupgQ eYI �a< <• (� <br /> C.DATE LN5TALLEJD pA0VAYJYEAH) 11 D- TAW CAPACITY IN GALLON& <br /> 11.TANK CONTENTS IF A•i+s MARKED.COMPt£rE MEM C. <br /> A + momm You= -AL � i at i Q � sa R@Gtl{/Lp uMFiLO® 3 OIESLlt 8"AnoN Gas <br /> Z PETROLEW © 0 DAPTY � 1 PRODUCT IB/f�AiM NIAFA9� 19 4 OASAFICL 7 Ml:h{AIN�L <br /> tc MONODELFLFADPD S !kTFUEL, a M&S <br /> 3 CHEIAIGAt PROlH1GT as UNKNOWNQ E WASTE 0 a LEADED N Q1>sER(DI"aGPA9E LR nEu 0.aeov�I <br /> 0. IF(A.1)15 NOT MARKED. ENTER NAME OF SUBSTANCE S QmQ C.A S. <br /> III. TANK CONSTRUOTION MAwc ow.Tas oNLY IN wxes AL e.ANO c�AND ALA,TNAr APPLIES w eox 0 ANO E <br /> A TYPE OF i DOUBLE WALL 3 9"GLE WALL WITH IXTER OR U PJEa 5 "Tow L BLADoFA STSTW cl 45 UNK%Owh <br /> SYSTEM C t SIN U WALL Q i 41*ka WALL IN A VAULT 99 Oma <br /> B. TANK I BARS STEEL � 8 STAINLESS STEEL 3 FIEEAGLA 5 � i STMCUD VVI V E.4GLASS REINFORM PLASTIC <br /> VATER14 S coNGwm ® 4 Pam GHLARIOQ 7 ALUMMM CD E tam ME'rrow+m COMPAbOLAWAw <br /> Spmw y lsnk) f�� 9 BRONZE Q 10 gAL.VAHM TrW. r7 95 VNM O" © " OTHER <br /> C-EITSRIOR J 1 RUGMA LUVEO Q = ALXM LINING C] 3 EPDXY LINING Q a fte4ftLC LWWG <br /> LINING OR t &Ass UM4 �] 5 UNLINED to 08 UNKNOWN <br /> COATING 18 LINING MA701AL OOMPAYIAtE VnTN IW%METI+ANOL+ YES— No_ <br /> Q <br /> CORROSION f� } +'OtYETliTtiNE WRAP Z CWtlNL1 0 3 Ilam VWW i FWAGLASS REINFORCED PLASTIC <br /> PROTECTION 7j 8 CArAOWC PROTECTION ❑ 91 NONE Q 9s UNI9VM 99 OTHER <br /> SPa .C9rPrmaigT .ALIEOIYiAAI Ll NtioNEOUIPMEN <br /> !.SPILL AND OVERFILL.mDROP TV9E TEs N0. s a�LCER PtJLTE YE, NO tlosR t�N(YME�T rE� No <br /> IV.PIPING INFORMATION MOM& A I0Al0vtGROUND OR V IFUNOF} ROLWD.9QTMIFA"UCABLE <br /> A. SYSTEM'f*YFE AV L sucRCN A 3 MSSum A U a omvnv A U s FLEXISLEPIPING A U W 01men <br /> L CONSTRUCTION A u , SING WALL U I MIKE WALL A U 3 UN90"W%CH A U 95 UNXNowN A U 99 OTHER <br /> C. IMATCRLAL AND A V I SAME STEe A U z STAINLESS smEL A U 3 oaLYYjNYL OAONDE;WAZ. Reepovs9 Ape <br /> COAR4Si0N A V 8 ALUMLAA+ A U 9 ComeRM A 1) r SLULWCOATINQ A U 0 10004 Mgn(ANOL COMPAneLEWn:1w <br /> PROTECTION A U 9 QALVAN=STE& A U 10 CATMOOIC XKnCnQN A u 95 UNKNOWN A V 99 OIIU;a <br /> Q. LEAK DETECTION C2' wr+fAlt 2 taI[. S�IN+fI�L.t t"-7 i ftem.. a)I Wf��/�M �9 Ots+E'� <br /> V.TANK LEAK DETECTION r--t �•••l IBJ <br /> }5� i VWAL CWWA (_�J A;C"TAK9 <br /> C3 3"AO O i AUTOMA"4AIGMC TANK 3 GROUND WANA a XMIJALTANK <br /> 7CMONITORING <br /> NON470pima 08Q !WQ�T MANUAL�10 MONTHLY TANK � 9d UNIMWN C]99 07ME.iVL TANK CLOSURE INFORMATM tPZST7"TEO OATy U&o'r USED LAaLYOAYfYR) E0 QUANTITY Of M WAt YANK—LED WITH <br /> REwAi 04 ,GALIOhS WERT ws.75111AL 1 YLss Q No <br /> TNJS FORM AAS A?E=N comri erEo Uti4ER P=NAL rY OF PERJURY,ANA TO THE BEST t#AIY JQ1tONVL£QOE.IS TRUE AND CORRECT <br /> TANX OWNERS MANE ILf _A <br /> I04".soaSmArim r1 <br /> ? Z1 /Gf(o <br /> LOCAL AGENCY USE ONLY THE srATS LD.NUMBER a CoUposm OF THE Fo1m NUMBERS>!am <br /> 'COUNTY 9 jif uusoc-1ow a FACILITY, TANK, f <br /> STATE I.b.# m -i/ j5 U �� <br /> Pw4bvT NUMBER MMIT APPOOVED SY(OATE PERM 0100TON EATE <br /> THIS FORK MUST BE ACCOMPANWO BY A PL;RALIT APwGTR)N•FORti A.LIN!E55 A CL>1tAlKT <br /> v FOIil1 A HAS 8>EN FRED.i 0ww C MUST 84 COMPLEM OR INSTALLATIONS.THIS FORM <br />