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. r <br /> i <br /> APPLICATION FOR A PERMIT TO CONSTRUCT <br /> A. Total number of tanks to be installed f <br /> B. Type of primary containers: <br /> Double or Material to <br /> Tank # Manufacturer Composition Capacity Single Wall be Stored <br /> 1 %bfi7 I Pi CPdj, <br /> 2 s. O l7Uy 1Jc�u c,!n/r dP ca/ <br /> 6/e_ <br /> 3 <br /> Attach additional sheets as needed for primary containers. <br /> k C. ' Type of secondary containment: <br /> 1, /Double Wall Tanks I_) Flexible Liner (liner thickness) <br /> 1_1 Vault I I Other <br /> Manufacturer lrusco <br /> If other than Double Wall Tanks, will all tanks be in the same secondary containment <br /> enclosure? Explain � I1� <br /> Will a system be installed to de-water the containment area? Explain _ <br /> _.._ NIP <br /> D. Tank ak detection/monitoring system: <br /> I_Ta; <br /> 1 Continuous monitoring device within the secondary containment, connected to an <br /> audible/visual alarm system. RA P• 3 <br /> _ Manufacturer i=p iy3 ir.j) <br /> P 10 <br /> Daily <br /> I_1 Daily manual monitoring of the space between the primary and secondary contain- <br /> ers using "dip stick" readings or visual determination. <br /> Please specify: <br /> I _I Daily Inventory Control/Records reconciliation (for motor vehicle fuels only) <br /> NOTE: If daily gauging and records reconciliation is to be used as the monitor- <br /> ing system, a letter from the property owner must be provided to this Department <br /> outlining the frequency and method of monitoring the space between the primary <br /> and secondary containers, as well as a statement that the tanks will be tested <br /> using an approved testing method every year. <br /> I-_--I Other. Explain _- tij - <br /> II-1 <br />