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Home My WebLink About#781 Permit App 9-23-16BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661 -852 -2171 Page IofI TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY Km KAr%MTCT/^ATTl1N nC CAI -TI rrV rl MTNf1D Mr)nT1=TrATT0K1 nF FArTI TTY STARTING DATE/ 7/19/2016 PROPOSED COMPLETION DATE 9/30/2016 FACILITY NAME Fastrip Food Store EXISTING FACILITY PERMIT # 15- 021 -03076 FACILITY ADDRESS 4 013 S. H Street 7`5akersfield ZIP CODE 93304 TYPE OF BUSINESS APN # GDF TANK OWNER Jamieson Hill PHONE # 661-393-7000 ADDRESS PO Box 82515 CITY Bakersfield ZIP CODE 93380 CONTRACTOR Jaco Oil Company CA LICENSE # 970529 ICC # 8129033 ADDRESS PO Box 82515 CITY Bakersfield ZIP CODE 93380 PHONE # I 661- 868 -9484 BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP # WC3486600 INSURER American Zurich BRIEFLY DESCRIBE THE WORK TO BE DONE: Troubleshoot annular space sb989 failures and repair as needed. Currently believe tank annular risers will need to be replaced.Replace failed spill buckets and install /reconfigure flex lines in 87 -1 and 87 -2 turbine sumps. WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE Pea Gravel # OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? Q IX YES ❑ NO M YES ❑ NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER 1 12,000 x x 2 12,000 x x 3 12, 000 x x 4 12, 000 x Tank Testing Company NAME OF TESTING COMPANY Jaco Oil Company PHONE NUMBER 661-868-9484 MAILING ADDRESS PO Box 82515, Bakersfield, CA 93380 NAME OF TESTER Matthew Cheney 'C" 8129033 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# Matthew Cheney 8129033 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY �� r Manse (RpV 09/09)