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� <br /> � � <br /> c�x <br /> G H <br /> ,�,�'-1(n <br /> H�� <br /> re �] <br /> '�tl��tl <br /> N <br /> tA �'^1 <br /> �zo� 1991� �FORM FIRE CODE ` A•11•Et <br /> HC . <br /> �.��j 1. _ Piping— � <br /> �„i Moniwring Mnhod: � <br /> �H� �+�+� , Frcquency: � <br /> M H S. Other: <br /> �� <br /> g� DOl'BL&R'.4LL TAVkS AND PIPItiG <br /> ��`�� TanA uea identifica�ion(u shown on fxility map): <br /> �N 1. �lethod of monitonng the annular space: <br /> 2. Frcquency: ' � <br /> Coniinuous _ Daily _ N'«k�Y <br /> Othcr. <br /> 3. Lisi ihe type o[seccndary containmant for piping: <br /> 4. Lisi U�e method of moniioring the secondary containmeni for piping: <br /> : <br /> . <br /> S. Am�hert incompatible materials within the same vaull'! � <br /> Yes No <br /> If yes,how is separaie secondary conuinment providedT <br /> \ote:lfyouhaveconiinuousmonitoringequipment,}'oushallmainlaintopiesofallservice � <br /> �' and maintenance worl..Such repons shall be made a��ailable for rcvie�v on site,and shali be � <br /> submined to�he fire prtvention burcau upon rcquest. ; <br /> 1�' Anach additional sheets as necessary ( <br /> ��� y SECTION IV: WASTE DISPOSAL <br /> 1 ' DISCh3f�[10 UIt 521111�t)' Prctrcatment— <br /> — s <br /> $CM'et—WaSi[5: W3�IG5: [ <br /> ' 1 � <br /> r�� Licensed Wute Hauler— Recycte— � <br /> Wastes: Wastes: <br /> 1 -- <br /> ' Olhet— <br /> �' Describe Method: <br /> '� Wutes: — - <br /> � ; <br /> '�' No Waste � <br /> ��� SECTION V: RECORD KEEPING ` <br /> Dcscription o�our inspection program: � <br /> . <br /> [ <br /> f <br /> t <br /> We will use�he anachcd sample fortns in our inspection program. : <br /> We will not uu the samplc fortns.We have atuched a copy of our ow�n fortns. � <br /> 489 <br /> � _ <br /> � <br />