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N.,TP- <br />tma ivFORmTION <br />PING 10ORMATION TANK# TANK# Z� TANCO YANK# <br />STANCE free V*1"e5 <br />SPENSER to TANK VACS <br />• <br />STRUCTION " <br />i <br />TRIAL "•" � <br />K DETECTION SYSTEM �� , pe–ICA "- ZL <br />METHANOL COMPATIBILITY with <br />ION PROTECTION �� G 4Z—g <br />system Type; suction, pressure, and gravity <br />Construction: singte-watted4 doubte-watted, tined -trench, etc. <br />Material Type; steet-iron, stainless-steel, fibentass, etc. <br />Piping (cross-secticnet diagram, inctuding connections to tank and dispensers). <br />Double wall pfping or a Secondary containment (Trench tinea, etc.) <br />('I) Product tine (Leak detector or automatic shut-off on <br />pressurized piping). <br />(2) Vent and vapor recovery tines if not designed to <br />prevent the entrance of standing fluids. (gall float valve) <br />(3) Manways and outer single wetted pipe fittings on e <br />double -waited tank, if root designed to prev®nt the <br />entrance of standing fluid. <br />state Water Resources Control Board -'facility (A)" and "Tank Permit (S)" application forms submitted. <br />V/ Plan review and operating permit fees paid. <br />V/ Monitoring and Response Plans submitted. <br />V Proof of financiat responsibility on file. i <br />What is the approXitate depth to ground water: <br />(include source of information - borehole togs, monitoring well data, water <br />studies, etc.) <br />Mof�L�Uri�t�. <br />Total number of tanks as site after installation: 3 <br />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 />Responsible party(ies) shad submit a `Letter of Commitment" prior to the <br />` installation of new tanks. (Applies to sites with documented soil and/or groundwater contamination) <br />v/ County/City Fire District and Building Department notified, <br />REMARKS <br />.................................. -........................................................................ -- - <br />-----------------------------------------------------•------- ------------------- <br />----------..................................I-- ------------------------------------------------ ....................... <br />------------------------------------------------------------------------------------------------------------------------ <br />-------------------------------------------------------------------------..... --- <br />7 <br />