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Form 4.1 <br /> Initial Data on the LP-Gas Facility <br /> A B C <br /> Item Information Item Data <br /> 1 Name of the LP-Gas Facility Owner or Propane Northwest <br /> Operator <br /> 2 Contact Name Alan Niels <br /> 3 Contact Telephone & Fax Numbers 253-254-8002 <br /> 4 Contact Email Address aniels@thompsongas.com <br /> Street 1:906 Marc Ave <br /> 5 Mailing Address Street 2: <br /> City, State,Zip:Tacoma, WA 98421 <br /> Form 4.2 <br /> Facility Storage Cap City 1,2,3 <br /> A s C D <br /> Individual Total <br /> Item Container Number of Water Capacity(w.c.) <br /> # Water Capacity containers of each container size <br /> (w.c.)(gallons) (gallons) <br /> 500 <br /> 1,000 <br /> 2,000 <br /> 4,000 <br /> 10,000 <br /> 1 18,000 <br /> 30,000 1 30,000 <br /> 60,000 <br /> Other: <br /> Other: <br /> Other: <br /> Other: <br /> 2 Aggregate Water 30,000 <br /> Capacity' <br /> Notes: (1) Column D=Column B x Column C. <br /> (2) Parked bobtails,transports and tank cars should not be considered for aggregate <br /> capacity calculations. <br /> (3) Do not consider containers that are not connected for use. <br /> (4) For the purpose of this manual,"Aggregate Water Capacity"means any group of <br /> single ASME storage containers separated from each other by distances less than <br /> those stated in the aboveground containers column of Table 6.4.1.1. <br /> (5) This form contains formulas that will automatically calculate results based <br /> on the values entered in the related cells.To activate the calculations,click in <br /> another number field,such as one in Column C. <br /> If the aggregate water capacity (w.c.) of the LP-Gas facility is less than <br /> or equal to 4,000 gallons, no further assessment is required. <br /> YOU CAN STOP HERE. <br /> A - 2 <br />