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M <br /> All information requested below must be provided..ori the plans or described below unless not <br /> applicable. Incomplete information will result in the plans being returned. <br /> Check all that apply: Dispensing Bulk Storage Loading Rack <br /> Capacity: 1. IDOO 2 000 3. 4. <br /> Product: 2. 0-4 3. 4. <br /> Construction 16 i I 2. S 3• 4• <br /> ice, .,� BchlamukttzL <br /> Piping(material): Vent Lines : -, 'W-1b --gzJ Dispensing Lines AJ <br /> Type: FullService Self-Servicq�_Open to Public riva eDike_�� <br /> Dimension: Z X 1 -1 Dike construction &-%.0 V--�eL <br /> Loading Rack Construction: /J <br /> Are tank locations shown on plans? Yes No <br /> Are all buildings shown on the olans? Yes No N/A <br /> Are property lines shown on the pians? Yes_ No <br /> .-ire overread Powe:Lines shown. on the plans' Yes No N/A <br /> What are the tack dimeasions'. <br /> :are emergency controls shown on the plans? Yes No NiA <br /> C I <br /> Describe ove:nlI protection. <br /> Describe spill prevention \ < j <br /> Describe mate.iai under tank(s). <br /> Describe vent pipe termination and height Z-( ��baJi- l-c'.rcu. -,O <br /> Are dispenser locations noted on plans? Yes — No N- /A <br /> Is the piping layout shown on pians? Yes No <br /> Is required signageilabeling shown on plans? Yes No <br /> Are any,LP tanks within 20 feet of or in the drainage path of proposed tank(s)? Yes No <br /> Are fire extinguisher locations noted on plans? Yes No <br /> 161 <br /> Will there be a canopy above the tank(s)? Yes No <br /> Page 2 of 2 <br />