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?IPING INFORMATION • <br /> PIPING INFORMATION TANK# TANK# TANK# TANK# <br /> DISTANCE from <br /> DISPENSER to TANK <br /> MANUFACTURER <br /> SYSTEM TYPE R <br /> CONSTRUCTION A( _ !� LL <br /> MATERIAL <br /> LEAK DETECTION SYSTEM Oi 1 l L 3 U <br /> 100% METHANOL COMPATIBILITY with <br /> FRP -1 <br /> CORROSION PROTECTION y C ~ <br /> * System Type; suction, pressure, and gravity <br /> ** Construction: single-walled, double-walled, lined-trench, etc. <br /> *** <br /> Material Type; steel-iron, stainless-steel, fiberglass, etc. <br /> 26. Piping (cross-sectional diagram, including connections to tank and dispensers). <br /> Double/wall piping or _ Secondary containment (Trench liner, etc.) <br /> (1) Product line (leak detector or automatic shut-off on <br /> pressurized piping). <br /> j (2) Vent and vapor recovery lines if not designed to <br /> i prevent the entrance of standing fluids. (Ball float valve) <br /> / (3) Manways and other single walled pipe fittings on a <br /> double-walled tank, if not designed to prevent the <br /> n� entrance of standing fluid. <br /> 27. State Water Resources Control Board "Facility (A)" and "Tank Permit (B)" application forms submitted. <br /> 28. Plan review and operating permit fees paid. <br /> 29. Monitoring and Response Plans submitted. <br /> 30. Proof of financial responsibility on file. <br /> 31. What is the approximate depth to ground water: <br /> (include source of information - borehole logs, monitoring well data, water <br /> studies, etc.) <br /> 32. Total number of tanks on site after installation: <br /> 33. Any existing tanks to be removed or abandoned? YES [ ) NO [ ) if yes, submit State Water Resources <br /> Control Board "Facility Permit (B)" application form. <br /> 34. Responsible party(ies) shall submit a "Letter of Commitment" prior to the <br /> installation of new tanks. (Applies to sites with documented soil and/or groundwater contamination) <br /> 35. County/City Fire District and Building Department notified. <br /> 36. REMARKS <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> 7 <br />