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9C ®TnfuH r"eMY`TTnU <br />0 <br />PIPING INFORMATION <br />TANK# ' TANK# <br />TANK# 3 <br />DISTANCE from <br />DISPENSER to TANK <br />! 3 1H h <br />FTANK# <br />'t5 � <br />MANUFACTURER <br />SYSTEM TYPE <br />CONSTRUCTION <br />MATERIAL *°* <br />LEAK DETECTION SYSTEM <br />V c. <br />100% METHANOL COMPATIBILITY with <br />FRP <br />CORROSION PROTECTION <br />�i' S <br />* System Type; suction, pressure, and gravity <br />** Constructions single -walled, le -walled, lined -trench, etc. <br />*** Material Type; steel -iron, stainless-steel, fiberglass, etc. <br />26. % Piping (cross-sectional. diagram, including connections to tank and dispensers). <br />X Double wall piping or _ Secondary containment (Trench liner, etc.) <br />N (1) Product tine (leak detector or automatic shut-off on <br />pressurized piping). <br />is (2) Vent and vapor recovery lines if not designed to <br />prevent the entrance of standing fluids. (Ball float valve) <br />X (3) Manways and other single walled pipe fittings on a <br />doubLe-waLLed tank, if not designed to prevent the <br />entrance of standing fluid. <br />27. State Yater Resources Control Board "Facility (A)" and "Tank Permit (B)00 application forme submitted. <br />28. X Plan review and operating permit fees paid. <br />29. X Monitoring and Response Plans submitted. <br />30. X Proof of financial responsibility on file. <br />31. X What is the approximate depth to ground water: <br />(include source of information - borehole logs, monitoring wail data, water <br />studies, etc.) l <br />aC.1 m . e ad r e�o i �� 1.r� . c.�-1 ) n✓ ��- 12- <br />32. <br />Z <br />32. X Total number of tanks an site after installation: 3 <br />33. Any existing tanks to be removed or abandoned? YES ,k3 NO E ) If yes, submit State Yater Resources <br />Control Board "Facility Permit (B)" application form. <br />-34. Responsible party(ies) shall submit a •Letter of Commitmentu prior to the <br />installation of new tanks. (Applies to sites with documented soil and/or groundwater contamination) <br />35. A County/City Fire District and Building Department notified. <br />36. REMARKS <br />---------------------------------------------------------------------------------------------------------------------------- <br />---------------------------------------------------------------------------------------------------------------------------- <br />---------------------------------------------------------------------------------------------------------------------------- <br />---------------------------------------------------------------------------------------------------------------------------- <br />7 <br />