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HomeMy WebLinkAboutUST APPBAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page I of 1 TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY F-1 hAt'1r'%TE:TfA-rTnf%1 nE; C:AfT1 T-rV M MTr\lr)D mr)17T1=TrATTnKi r)F PACT1 TTY STARTING DATE/ 04/28/2014 PROPOSED COMPLETION DATE OS/02/2014 FACILITY NAME Fastrip #6 7 EXISTING FACILITY PERMIT # FACILITY ADDRESS 1640 South Chester Avenue CITY Bakersfield ZIP CODE 93304 TYPE OF BUSINESS GDF APN # TANK OWNER Jaco Hill PHONE # (6 61) 393-7000 ADDRESS PO Box 82515 CITY Bakersfield ZIP CODE 93380-2515 CONTRACTOR Confidence UST Services, Inc. CA LICENSE # 804904 ICC # 8018524-Ul ADDRESS 16250 Meacham Road CITY Bakersfield ZIP CODE 93314 PHONE # (661) 631-3870 1 BAKERSFIELD CITY BUSINESS LICENSE # 32864 WORKMANS COMP # 1308371-2013 INSURER State Fund BRIEFLY DESCRIBE THE WORK TO BE DONE: Excavate in front of each UDC to install Bravo Penetrations and test boots. Install Bravo Penetrations on all entry points STP sumps. Excavate and expose 4 STP sumps. Minor piping modifications. WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? � ❑ YES 1:3 NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? ❑ YES ❑ NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER 1 12000 gal. X X 2 12000 gal. X 3 12000 gal. X X 4 12000 gal. — X Tank Testing Company NAME OF TESTING COMPANY Confidence UST Services, Inc. PH NE NU17BER 661 631-3870 MAILING ADDRESS 16250 Meacham Road, Bakersfield, CA 93314 NAME OF TESTER Frank Landa ICC# 8018524-U1 THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER Frank Landa ICC# 8018524-U1 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY 9:n')n%z9 (Dow Oqlf)Q)' BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY X .. r 7-r A- TneI �r 1—Af TI T-M/ MTNInD KAnnTGTrATTn1\1 Ol' PA(-T1 T'T'Y kI-I IL.%.e, viva v I --- STARTING DATE/ 04/28/2014 PROPOSED COMPLETION DATE 05/02/2014 FACILITY NAME Fastrip #6 EXISTING FACILITY PERMIT # FACILITY ADDRESS 1640 South Chester Avenue CITY Bakersfield ZIP CODE 93304 TYPE OF BUSINESS GDF APN # TANK OWNER J-aco Hill PHONE # (6 61) 393-7000 ADDRESS PO Box 82515 CITY Bakersfield ZIP CODE 93380 -2515 CONTRACTOR Confidence UST Services, Inc. CA LICENSE # 1804904 ICC # 8018524 -U1 ADDRESS 16250 Meacham Road CITY Bakersfield ZIP CODE 93314 PHONE # (661) 631 -3870 1 BAKERSFIELD CITY BUSINESS LICENSE # 32864 WORKMANS COMP # 1308371 -2013 INSURER State Fund BRIEFLY DESCRIBE THE WORK TO BE DONE: Excavate In front of each UDC to install Bravo Penetrations and test boots. Install Bravo Penetrations on all entry points STP sumps. 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 TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER 1 12000 gal. X X 2 12000 gal. X X 3 12000 gal. X X 4 12000 gal. X Tank Testing Company NAME OF TESTING COMPANY Confidence UST Services, Inc. PH NE NUMBER 661) 631 -3870 MAILING ADDRESS 16250 Meacham Road, Bakersfield, CA 93314 NAME OF TESTER Frank Landa ICC# 8018524 -U1 THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICC# 8018524 -U1 Frank Landa THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVE BY `"� " 77 FD2086 (Rev 08/09) SITE PLOT PLAN for: 015-021-002928 #562 FASTRIP #6 1640 S. CHESTER AV9. BAKERSFIELD, CA 93304 03/0412012 em S"R AVE. CATCH BASIN 4 -12,000 GAL Ts 87 L7 Ig SIPHON Jill L X Z�( A L 874 L, STPS ATG,. L4-- I DSL L3 A G OFA L6 AT L5 so it I ,J7 =:4 L 41 F1 2 17 ------------ ....... ............. 11 " a =to li Emsinmen 2w PALL" On rz IMM LEGEND —.r - --I Ej Ll 87.1 STP ESO EMERGENCY SHUT-OFF L2 87-i ANNULAR OFA OVERFILL ALARM L3 DSL$TP (9 PRODUCT SPILL CONTAINER L4 DSL ANNULAR 0 VAPOR SPILL CONTAINER Ls 91 STP 4) ANNULAR L6 91 ANNULAR FW FIREernNGUISHER L7 87-2 SIPHON STP GAS METER SHUT-OFF L8 872 ANNULAR WATER METER SHUT-OFF L9 QDC 1-2 14EALY CAS L1.0 UDC 3-4 EVACUATION mEE-nNG POINT L41 UDC 5-6 L12 UDC 7-8 L1.3 N TRANS SUMP L44 S TRANS SUMP If you have achieved a NAFED certification you must notify NAFED of any change of address. wywi.nafed.orls, d Best wishes for continued success in your career, and thank you for your interest in the Certification Programs of the international Code Council. lt Remove card at perforation and FOLD in center before placing in wallet It