HomeMy WebLinkAboutMINOR MOD. APPLICATION 8/17/2015UNDERGROUND STORAGE TANK
PERMIT APPLICATION ME.
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW
TANK .INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
Permit #
TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NE
CHECK ONE ONLY ❑ MODIFICATION OF FAC
STARTING DATE/
FACILITY NAME
FACILITY ADDRESS
TYPE OF BUSINESS
TANK OWNER
ADDRESS ' r'O. n D,m
BRIEFLY DESCRIBE THE WORK TO BE DONE:
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun Avenue, 1s* Floor
Bakersfield, CA 93301
��� Phone: 661 -326 -3979 • Fax: 661- 852 -2171
Page 1 of 1
FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY
TY MINOR MODIFICATION OF FACILITY
mwlp MI
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE
OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
❑ YES ❑ NO ❑ YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION