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VI Piping <br /> A Associated Piping Oo,Above Ground P(eo:Underground 0w Vaulted <br /> B Underground Piping l(oi Gravity O 02 Pressure O m Suction O o.Unknown <br /> C Piping Repairs O or None X o2 Unknown O o3 Yes,Year of most recent repair <br /> VII Leak Oetectlon <br /> 0 o,Visual O m Stock Inventory O o0 Tile Drain Off-Vapor Sniff Wells O al,Sensor Instrument <br /> 0 oe Ground Water Monitoring Wells O m Pressure Test O as Internal Inspection )6 w None <br /> 0 w Other <br /> VIII Chemical Composiftion of Materials CurrinNy or In Un&rground Containers <br /> If you checked yes to IV-H you are nor required to complete this section <br /> eeerer0, areWrwy desmWl Oo nor uaa Cammacw name wee aoatxxw�Dear ua more rvom <br /> page a." CAS a 411.n ) <br /> Oor 002 <br /> Om 002 <br /> Oo, Om <br /> Oor Ow <br /> 00, 002 <br /> 00, Ow <br /> 00, Ow <br /> in 002 <br /> 0o- 002 <br /> Oo+ Om <br /> 0 002 <br /> 0v 002 <br /> Oor 002 <br /> is Container Located on an Agricultural Farm) O 11, jV3`No <br /> IX IMPORTANTI Read instructions before signing <br /> signature:The tam must be Signed by 1)a principal executive oercer at the level of vice•pres,dere of or ar authorized representative The represental..e <br /> must be responsible for the overall operation of the facility where the lentils)are focaie0 21 a genera!panne proprietor.or 3)a prtncrpa;executive ort-ce! <br /> ranking elected official or authorized representative of a public agency <br /> This form has been completed under the penalty Of perjury and.to the best 01 my knowie0ge is true ano correCt <br /> traroiue "JUN 2 5 084 <br /> e�rtaeo Wine lee q+ar+t..sea—, y <br /> D Pam Qajp <br /> SwW check to: Hazardous Substance storage Statement.State Water Resources Control Board P 0 Box 100 Sacramento.CA 95801,-Of M <br /> anent r.�y Siaemr. o-,.�..•. - 9 e 2+ <br /> E.�. <br /> Corrections made by <br /> For additional forms or mag Intamatlon tier 916/544.1362 �ECorp. 10-16-86 <br /> James Elder, RE14600 <br /> FOR STATE USE ONLY <br /> ID N~ RCCenYe.�q Numea .'x' <br /> pat Reca•+eo O oW -� <br /> i� <br />