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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 d ru�VQV imcv