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.z <br /> 25. PIPING INFORMATION <br /> PIPING INFORMATION TANK# S TANK# TANK# 0 7. 1 TANK# L> <br /> DISTANCE from <br /> DISPENSER to TANK It 4'`0"1 ma-o'`t { L O � ' s �± <br /> MANUFACTURER � <br /> SYSTEM TYPE * V <br /> CONSTRUCTION ** �� Qy W <br /> MATERIAL *** T=t2sw {�gFyF� <br /> LEAK DETECTION SYSTEM 44prep mrAW%t ev t+' rivi-3tTow- <br /> 100% METHANOL COMPATIBILITY with <br /> FRP <br /> CORROSION PROTECTION r' tlgl V <br /> * System Type; suction, pressure, and gravity <br /> ** Construction: single-watted, double-walled, tined-trench, etc. <br /> *** Material Type; steet-iron, stainless-steel, fiberglass, etc. <br /> 26. iLJ Piping (cross-sectional diagram, including connections to tank and dispensers). <br /> JDouble wall piping or _ Secondary containment (Trench Liner, etc.) <br /> (1) 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. (Balt float valve) <br /> .� (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 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 /> B <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 Nater sources <br /> Control Board "Facility Permit (B)" application form. <br /> 3 Responsible party(ies) shall submit a "Letter of Commitmentm prior to the <br /> installation of new tanks. (Applies to sites with documented soil and/or groundwater contamination) <br /> mmmu i + <br /> 35. County/City Fire District and Buil ng Department notified. <br /> 36. REMARKS <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> ---------------------------------------------------------------------------------------------------------------------------- <br /> --------------------------------------------------------------------------------------------------------------------------- <br /> a <br /> 7 <br />