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HomeMy WebLinkAbout[Untitled]_11-58'"" F` x.... 6. e2.+:.. mna:.. o��•' t+ �... ::�A^•''— .- `"�`'.e'.4a^`aCS�, . "�:�s °b'�aT.1h't '7rr , �. -'ti. �`..n• ^- ^. 1.501 Truktun Avenue 11 Floor PERMIT APPLICATION Bakersfield, CAS 93301 TO UCT INSTALL NEW 7A* NK (NEW FACILITY)/NEW Pope 661- 326 -3979 Fax: 661-852-2171 TANK INSTALL (E)aS71NG, FACI /MOD -MINOR MOD Page 1 of x it # TYPE OF P CA iNo 0 NEW TANK it . 'i F 4 I .iT '" 13 NEW TANK NSTALL/E ISTING FACILifY Istmam HOUIFICATIO gF `ACLny L MINOR ONE ONLY) M1t70IFYCATT(}N OF FACILTfY FAQL1Ei Y NEE E3tI5ilVG FAL71IY1! Vii' eny ZIP CODE TYPE OF MAW OWFM PHONE sfi ADDFZF.SS Mello_ W CODE Ipc —I MY+�'fq�/�.Op�y�w. r..ai WVlr €i.Y DESCME THE WORK To BE DONE: � L,.�.• ` 4. w" a �. &.Olt ,;+ To FACMM PROVMW BY ...T6Q0JN1DWAMR SOY 11t m'8MCTM AT SUE 0 TAAfRCS TO BE INS i'MUfU ARE Tt9EY FOR MO OR FUEL? SELL PREV50MON GOAL AND COUNTERMEASURES PLAN ON FUR? 4 . a YES O NQ 0 YES 0 NO SECUON IS FOR S*0RAGE TANK IDE TION . !p '/ l A Tank, Testing company e �14E M� NAME OF TESTM THE OF COMPLETED UNDER - --.-PENALTY OF P9WURyr AND TO THE BEST T OF MY KNOWLEDGE 19 TRUE AND CAHMECT. I OF THIS APPLICATION BECOMES APPROVED FOR OFMCUL USE owy By FD2049 (Rev 68109)