HomeMy WebLinkAboutMinor Mod Permit AppBAKERSFIELD 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
(('HF('K nNF ONI Y) W MOMPTCATTON OF FACTI TTY M MTNOP MOnTFT(" ATTON nF FACTI TTY
STARTING DATE/
11/5/2016 112/05/2016
PROPOSED COMPLETION DATE
FACILITY NAME
Wholesale Fuels
EXISTING FACILITY PERMIT #
15- 021 -03393
FACILITY ADDRESS
2200 E Brundage Ln.
CITY
Bakersfield
ZIP CODE
193307
TYPE OF BUSINESS
Bulk Fuel Plant
APN #
-
TANK OWNER
Wholesale Fuels
PHONE #
661- 393 -7000
ADDRESS
PO Box 82515
CITY
Bakersfield
ZIP CODE
93308
CONTRACTOR
Jaco Oil Company (Matthew Cheney) 1970529
CA LICENSE #
ICC #
8129033
ADDRESS
PO Box 82515
CITY
Bakersfield
ZIP CODE
93380
PHONE #
661 - 868 -9484
BAKERSFIELD CITY BUSINESS LICENSE #
WORKMANS COMP #
WC3486600
INSURER
American Zurich Ins. Co.
BRIEFLY DESCRIBE THE WORK TO BE DONE:
Install liquid sensors in turbine sumps using direct burial cable. Cable will be epoxied into saw cut slot in concrete tank pad.
Install new PLLD sensor in UST Tank #1.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
0
ARE THEY FOR MOTOR FUEL?
❑ YES ❑ NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
X YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
OTHER
Tank Testing Company
JNoAOME OF TESTING COMPANY
-
PHONE NUMBER 661-633-7508
508
MAILING ADDRESS
PO Box 82515 Bakersfield, CA 93380
NAME OF TESTER
Matt Cheney
ICC#
812933
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#
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
APPROVED BY
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