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GENERAL INSTI1,T,'UCNONS,'.
<br /> 1. One FORM'11'shall be cornple ed for each tank for all NFW PFRMTN,P Rmn'CHANGUS, REMOVAIS and/or any
<br /> 1 This Corm s3'aould lig compkied by either the PFRMT1`APP1.I _,%Nr or the LOCAL AGENCUNDE2CaItC➢LT iI TAN
<br /> INSPUCO)
<br /> 1 please type or paint clearly:all recr u-sted znf€rnnation,'
<br /> 4. Use. a hard point writing;srstrutnca.a,you are rn!6ng 3,copies.
<br /> 'IMP 01?froKSiL WARK ONLY ONE ram,
<br /> L Mark an in the box next t«the nem that gest describes the reason the form as beam;completed.
<br /> 1 Indic at4 the D13r`1 or Facility ntanie where the tank is installed.
<br /> _ TANK aSCi 1"IC7 I C��LI4 11.I11, 1.L11WIS'_:IIP UNKNOWN-SO SPlX'TFY
<br /> A tn&Mte oi;vnens tmk,11) if nccrc is a tank nurrh b that as used by the owner to idnfif the tank ex.z B70799).
<br /> B, Indk:'mc i,he na,¢.e o: th, company tint manufactured the tank (ex.ACM `I"ANA FFG,).
<br /> C. Indicate ahv 3 a tite ran xs a g insc Ued(ex 1387).
<br /> 11 hnd,c<a. the tao capacits in gailorts (ex, 15,000 or 101 etc.).
<br /> H. TANK(XWq`O?,N11S ;
<br /> A, I If L,I y 1 f1 W"HI(JUP FUIEL,check box I and complete items 11 <& (';.
<br /> ,r. If ra it S101Ft1I1 VE11,101.F a.r,, chcck the appropriate box in section A and complete items 13 c& D.
<br /> 11, Check s o rr as box
<br /> C_ t hsrk#ac txI1fI i Latl f'I 11C I i Pr I I (if x l ss"s etre ked n ft).
<br /> I). Its~im t_e -her tical came of.da hazardous ous suhsei€act stored in the lank and the C,A,S, . (Chemical Abstract Scivice
<br /> 1, un ,cr),aI Fox I is `O17 cheekcd in A,
<br /> HL TANK C,ONS111C1Cd1'1C)Ixa-MARK ONE riUm ONLY IN 1 ,11,C&1)
<br /> I. C".ha,a's oniy one i€er? i,, 1 vpf' CII y1"f;1'FM,T;NN1L =d,TU.'IUAL, IanTERIO LINI G and C",C)1tIaOSIO T'itOTEC`I'TC)N.
<br /> If C1`Illri,Il,print in thn ;lata;tar oiF?:d.
<br /> IV. PIPING INFON'TION
<br /> 1. Circle A if above groundcircle �f underground; and circle both if applicable.
<br /> 11
<br /> C. I9 U'NKNU r`N, ift011I1 IZ,print inspace provided, -
<br /> 3, Indicrale the Ll.IS 1Il?
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