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:r <br /> ' HOW tNfoNMAttt3i AMtANkif Z• AM tANK0 <br /> y ` <br /> blitikhd from dGI,V i <br /> oispemad to Wit <br /> NANUPACrUai:rl e <br /> $YON type <br /> CN TRUcttoN +* <br /> �i MIAL <br /> G <br /> UAk OnctioN RyStem <br /> idok WHANoL twoAtIBILltY with <br /> PRP <br /> L.WROS tog PRotE:ctION <br /> + syatem typA; 9u01:16h, pretsure, And gravity <br /> +4 Construction& tiholt-melted, doubwwAlled, tined-trench, etc. <br /> sit NaterlAl typal eteet-ihoh, tthihlAta-Ateet, fiberplaat, etc. <br /> Piping (crow-#ectiohht diagram, includlnd conhectlone to tsnk And dispensers). <br /> �btubli Usti, piping dr ,_ Seca,dsry tontaimmnt (trench liner, etc.) <br /> ti) product liho (leek deteetor or AUtometic shut-off on <br /> peaeAuritid pipino). <br /> ( ) ph8venntt the entFi 8 a fiteirndlhd ftuicsitlt� to <br /> valve) <br /> •,�, i,3) e N ayA And other Aingld iiellAd pipe fittings on a <br /> doubli•uiitlld tAnk, if hot deslpned to prevent the <br /> imttfinto of itandind fluid. <br /> Ststa Nater fibtourtes 60061 Nord ePacllity (0i And Nt" Permit (a)" appticetion form submitted. <br /> 2E1. ,^✓ pieh hevl$il And bperatihq permit fees psld. <br /> Nonitorind and RAspcnim Otand tubmitted. <br /> Proof of fihAneiel reaponeWitty on fife. <br /> ubit IA tha uptiroxlmota depth to ground meter+ <br /> (#he(UcM JWetj of infOotion • borehol8 lope, monitoring well FRO, Water <br /> AtudieA, Atc:} <br /> 32. total r of tahkA bre Oil& Ow IhAtAliAtioh3 . <br /> _ ___ <br /> 33. C�ohlrolAgoAgrdtaFAcllityAPermeitletsor MAhdw*Jt)" liaattoh form. Yes t wo ( ) if yes, submit Stats Neter ReAources <br /> RaA ib1A pArty(lAA) that& Autmit a `l&tter of tbmmitienti prier to the <br /> Installation of hal) t"#, (Applle! to &11:64 ►lith doc ted tail and/or OtakWO con}eminstion) <br /> 39. / County/City fir& biatrict And Ruildlr4 beokWht hotifled. <br /> JCr Rs:MApks ..• <br /> ...� �'.............V�;.I......... .............; ..a... ii <br /> area.•. ..-.rr.a+re$.rai".r.i a.aw•. <br /> ..6i+eee..i1 +..r.a..ir:a. r.ea.rra. •. e.......4. •i.ai i.i. <br /> 4...................erre:Li Yi...tare..r..ae.a.e6.•.........i.r.•........... ..............a+ww.. <br /> ............................:...4........................ ....... cre.isar•.ra.......s.e•.::a...........e 4­4 ..............i.... <br /> .......................a...+.res................era::-re..a..i.r....•r.r.a.•...... .........e.e..•wwrr..e.r.•wea...e....r. <br />