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Rug-24-98 11 : 20A Kvaerner Aronson 760 489 6700 P. 03 <br /> STATE OF CALIFORNIA <br /> STATE WATER RESOURCES CONTROL BOARD 4 <br /> s ±L� <br /> UNDERGROUND STORAGE TANK PERMIT APPLICATION - FORM 8 <br /> COMPLETE A SEPARATE FORM FOR EACH TANK SYSTEM <br /> MARK ONLY I NEW PERMIT a 3 RENEWAL PERMtr = 5 CHANGE f F INFORMATION a 7 PERMANENTLY CLOSED ON SITE <br /> ONE ITEM 2 INTERIM PERMIT Q i AMENDED PERMIT Q 6 TEMPORARY TANK CLOSURE = 6 TANK REMOVED <br /> DBA OR FACILITY NAME WHERE TANK IS INSTALLED T od1 ATT ['Cnvft=Catlons =mfr <br /> I TANK DESCRIPTION COMPLETE ALL ITEMS- SPECIFY IF UNKNOWN <br /> A. OWNER'S TANK 1 O . J <br /> 8. MANUFACTURED BY jjnkr)CWn <br /> C DATE INSTALLED(LAG+DAY"EAR)unkogkm O TANK CAPACITY IN GALLONS 15,Q00 Gallons <br /> it TANK CONTENTS IF A 1 IS MARKED COMPLETE ITEM C <br /> la REGULAR UNLEADED 3 DIESEL � 8 AVIATION GAS <br /> I MOTOR VEHICLE FUEL Q OIL B I C <br /> Ip MOGRAIA L1NL.EAOEO I , A GASAMOL 1 I T METHANOL <br /> C 2 PETROLEUM 90 EMPTY ® I PRODUCT y to L1IDORABE UnLEACED 5 JET FUEL 's B M85 <br /> C 3 CHEMICAL PRODUCT C 95 UNKNOWN 2 WASTE 2 DED � 99 OTHER(DESCRIBE IN IM40 BELOINI <br /> D tFIA t)IS NOT MARKED ENTER NAME OF SUBSTANCE STORED C A 511 <br /> III TANK CONSTRUCTION (MARK CNE ITEM ONLY 1N BOXES A.B ANO C AND ALL THAT APPLIES LN Bo%D AN0 E <br /> I DOUBLE NALL = 3 SINGLE WALL WITH EXTERICR LIVER Q S INTERNAL BLAOCER SYSTEM C 95 UNKNOWN <br /> A TYPE OF <br /> SYSTEM CR2 SINGLE WALL a SINGLE WALL IN A VAULT 0 99 OTHE4 <br /> I BARE STEEL 2 STAINLESS STEEL = 3 FIBERGLASS = 4 STEEL CLAD W/FIBERGLASS REINFORCED PLASTIC <br /> B TANK <br /> MATERIAL � 5 CONCRETE � S POLYVINYL CHLORIDE � 7 ALUMINUM = 8 100'1. METHANOL COMPATIBLE WUFRP <br /> (Primary Tank) 9 BRONZE 10 GALVANIZED STEEL a 95 UNKNOWN a 99 OTHER <br /> NTERIOR L� 1 RUBBER LINED Q 2 ALKYD LINING Q 3 EPDXY LINING Q .9 PHENOLIC LINING <br /> NTERILINING OR 5 GLASS LINING Q 6 UNLINED Q 95 UNKNOWN 99 OTHER <br /> COAINITING IS LINING MATERIAL COMPATIBLE WITH 100'4 METHANOL') YES.X- NO— <br /> D EXTERIOR I POLYETHYLENE NRAP 2 COATING C 3 VINYL WRAP C 4 FIBERGLASS REINFORCED PLASTIC <br /> CORROSION j 91 NONE ® 95 UNKNOWN C 99 OTHER <br /> PROTECTION CAT-1400C PROTECTION <br /> jpILL CON TAINM ENT INSTALLED+YEARN OVERFILL PREVENTION EQUIPMENT INSTALL Ea IYEARI <br /> E SPILL AND OVERFILL 8LC <br /> ORCPTUBE YES NO STRIKER PLATE YES NO DISPENSER CONTA NMEY- YES NO <br /> IV PIPING INFORMATION CIRCLE A IF ABOVE GROUNOOR U IF UNDERGROUND BCTH IF APPLICABLE <br /> A SYSTEMA TYPE A V I SUCTICN A U 2 PRESSURE A U 3 GRAVITY A U a FLEXIBLE PIPING A U 99 OTHER <br /> a CONSTRUCTION A X I SINGLE WALL A U 2 DOUBLE WALL A U 3 LINED TRENCH A U 99 UNKNOWN A U 99 OTHER <br /> C MATERIAL AND A-4 1 BARE STEEL A U 2 STAIVLESS STEEL A U 3 POLYVINYL CHLORIDE(PVC)A U a FIBERGLASS PIPE <br /> CORROSION A U 5 ALUMINUM A U 6 CONCRETE A U ' STEEL WUCOATING A U 5 100'46 METHANOL COMPATIBLE W/FRP <br /> PROTECTION A U 9 GALVANIZED STEEL A U 10 CATHOOIC PROTECTION Alp(95 UNKNOWN A U 99 OTHER <br /> D LEAK DETECTION I I `I�c""`uL z umE nsm-ISS uM" <br /> 3 comms xIE.uITr'"a 4 ILE°In°"'�`''f [::15 AUTONAn`w1r 99 OT11FR�---- <br /> aETtCTca rEs m wo++roawa .f-.x C-RA sMurx" <br /> V TANK LEAK DETECTION <br /> � I If AUTOMATtC TANK �'^ S GROUND WATER 6 ANNUAL TANK <br /> I.--) I VISUAL CHECK �n s 2 gECONCILIA ONQRY l 3 MCNQTOAING GAUGING -^ MONITORING TESTING <br /> T CONTINUOUS NTERSTITIAL g SIR C 3 T NKLAUfINGAL 10 TCNTIHLY TANK 35 UNKNOWN 39 OTHER <br /> MONITORING <br /> VI TANK CLOSURE INFORMATION'PERMANENT CLOSURE IN PLACE) <br /> ESTIMATEDOUANTITY OF 3 WAS TANK FILLED WITfI YES NO Q <br /> 1 ESTIMATe3J GATE LAST USED+MClDAYYta) 2 SUBSTANCE REMAINING GALLONS I INERT MATERIAL? <br /> THIS FORM HAS BEcN CQMPL ETcD UNDER PENALTY OF PERJURY 4iVf7 TQ THE BEST OF MY KNCIv[EO�GEE15 TRUE AND CORRECT <br /> TANK OWkER S NAME r 9 <br /> PwNTE0 L SK.NATURE� v C� <br /> OCAL AGENCY USE ONLY THE STATE I DGNUMBER 1S COMPOSED OF THE FOUR NUMBERS BELOW <br /> COUNTY A JURISDICTION NI FACILITY I TANK N <br /> STATE l D <br /> aEAMIT NUMBERI PERNOT APPROVED BYRATE I PERMIT FJCPIRAT'ION GATE <br /> THIS°OR A MUSTSHOULD BE ACCOIJPANIED BY AIP <br /> PLOT APPLICATION <br /> OFILE THIS FORM WITH THE LOCAL AGENCY MPLEMENN7 NG THE UNDERGROUND STORAGE TANK RENS <br /> Ty15 FARM <br />