Provide the following information/documentation. Each numbered item below should be copied and appear at the top of a page with your information below.
| 1. | Existing licence number and date of commencement of licence. |
| 2. | Application for revocation of the licence in terms of section 24 of the Act and rule 13 of these Rules. |
| 3. | If the facility is not licensed; provide a technical description of the proposed storage facility to be converted. This should include the following— |
| (b) | physical plan of the facility; |
| (c) | a plan layout of the proposed conversion of the storage facility; |
| (d) | the diameter and height of the tanks; |
| (g) | product stored in each tank; |
| (h) | changes to the physical dimensions and capacity of the storage facility; |
| (i) | changes to the existing rate at which product can be taken into the proposed storage facility, e.g. pipeline, rail gantry and road transport gantry. Specify the number of gantries and their capacities; |
| (j) | changes to the rate at which product can be taken out of the proposed storage facility and through what means e.g. pipeline, rail gantry, road transport gantry. Specify the number of gantries and their capacities; |
| (i) | changes to the existing storage facility design, piping arrangements and gantries; |
| (ii) | changes to the proposed location of the storage facility, fences and roads; |
| (iii) | where applicable, descriptions of changes to the containment system and systems to prevent overflow or leakage; |
| (iv) | a description of changes to the regular inspection and maintenance procedures; and |
| (v) | where applicable, a description of the changes for handling contaminated water run-off. |
| 4. | A full description of the intended conversion and the reasons therefor. |
| 5. | The impact of the conversion on users of the storage facility and measures taken to ensure continued provision of service. |
