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Ilii FOLLOWING INFORMATION MUST BE PROVIDED FOR MPCA s <br /> Automatic <br /> Leak Detection Method: Tanks Gaugine Piping and <br /> SPill Prevention (Containment Basin): Yes x No <br /> Overll Protection: Type Shut Off Valve in Fill P'D Activated at 95% Tank <br /> Depth to Ground 'Nater / Capacity <br /> Estimated 15 Feet <br /> Anchoring: Required Anchorsn& Stran Not Required <br /> Type of Backfill: Sand / <br /> All plans submitted must show at least the following information on plot plan. Give measure- <br /> ments from tanks and disaensers to:orcoerty lines buildings, driveways and surface waters. <br /> YES Y/a YES N/A <br /> (X) ( ) ?repercy Line (X) ( ► vent ?ipe Termination type <br /> (X) ( ) 3ui•ldlnq(s)7 (yj ( ) vent ?ipe size✓ <br /> (X) ( ) hcik Size/ (x) ( ) ?ipinq Layouc✓ <br /> (XJ ( J Produce in rank ( ) (XJ Loeacion of Oispensers <br /> (X) ( ) rank 3ury Oepchw/ pj wacarvays <br /> f) ) Coner-sce rhlckness Over Tank ( J (X) Dispenser Protection <br /> (X) ( J rank =111 openin <br /> X1 Driveways q ( ) (x) Signs: vo Smoklnq-Shue of: Sococ <br /> Minimum Age :or Sal. Ser.** - <br /> ( ) (X) �:er?enef Controls Obc [in. ?16 Years old <br /> (X) ( ) Laak ?ececcion (X) . ire �ccinquisher <br /> overfill �. ( ) (X) sel, Serre �ictendane Location <br /> �ocect-on✓ (X) ( ) rank LOcaCLCn and Clearances:/ <br /> Spill Prevention �� (X) ( ) 3ack;Lll type <br /> ),nchocinq�, v <br /> Remar s: <br /> SZ'T� <br /> T z+ :-,OR <br /> , <br /> cg?=cz USE ONLY <br /> �catav I <br /> RevLaw Stamp Araa <br /> Stamp Zn .area <br /> — REVIEWED _ <br /> ® SUBJECT TO FINAL INSPECT[ON . <br /> AND ANY CHANGES NOTED. <br /> • <br /> CONTACT LOCAL FIRE AUTI-I 7'y <br /> PRIOR TO PROJECT START. <br /> MINNESOTA STATE FIRE ,MARS ?=ceass ecmolaead-oaca salad cue <br /> Delft , :�/ .'scab anedus rnforzacicn <br />