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STATE FIRE MAF2SHAL DIVISION <br /> 285 BIGELOW HUILDING � . ! <br /> 4 5 0 NORTH SYNDICATE STREET � OR��O CQ�Y <br /> ST. PAQL, 2�I 55104 <br /> � <br /> UNDERGROQND FLAMMABLE AND COI�QStIBLE LIQIIIDS. �� ,�.:: ; <br /> �. `� <br /> PLAN REVIEW GIIIDELINE r,�.`,.��' <br /> PLEASE READ THE FOLLOWING INFORMATION BEFORE BEGINNII�IG: <br /> - Fill in the information blanks completely. <br /> - where not applicable mark NA. <br /> - Submit all material in duplicate; include one guideline <br /> sheet for �ach plan to be reviewed. <br /> - Include plot plan oF property showing location of adjacent <br /> streets, highways, buildings, surface waters, and other <br /> immediate surroundings . <br /> - Incomplete information will result in the plans being <br /> re turned. <br /> Dafe:�_l 9 / q� Date of Installatlon:_�/_ '�l�t�_ <br /> mo day year - mo day year <br /> Tank Slte: <br /> Company: AV o� -- <br /> Address: �Z1oD SttD�2�U <br /> City/State/Zip: �1fl��,4�2� , tl�� 55?fi2 <br /> Contact: (,.�1 .rM Phone: f Z ¢ll •q08'2 <br /> Contractor: <br /> Name: �l,�1P � �E'tEK �vlc� <br /> Address: II�S�03 .�f�s�rn� LvD <br /> City/State/ ip: }-b�K�nS � (k,�'1 55�43 <br /> Contact:�12�� ��� Phone:( ��2 ) q33•4�d� <br /> MPCA Contractor Certification Number: Lo07 <br /> Tank Information: <br /> Capacity: 1 I�,�Do 2 �O,�n 3 4 <br /> Product: 1 l,ll� 2 3 4 <br /> Construction:l STi •P� 2 STl•Px 3 4 <br /> Piping (material): Vent Lines Dispensing Lines St� �t2.p <br /> Type: Fuil Service Se(f Service�_Storage <br /> Corrosion Protection: Yes No <br /> Type of Anodes /nstalled: Tanks 10'k Zir�(�Piping <br />