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BILLING & PERMIT STATEMENT `gp
BAKERSFIELD FIRE DEPARTMENT
"J"
Prevention Services
R S I —D
FOR f\
PERMIT #
WR E
2101 H Street
Bakersfield, CA 93301
"l -326-3ii o iijil,J61-851-2171
Additional Tank ATI
$ 98/tank
LOCATION OF PROJECT
PROPERTY OWNER
�$112 /tank
STARTING DATE COMPLETION DATE
NAME
❑
•
PROJECT NAME
ADDR
PHONE#
PROJECT ADDRESS
CITY STATE 3A
ZIP CODE
Underground storage Tank (Minor Modification) MT
$ 171/site
CONTRACTOR NAME
CA LICENSE #
TYPE OF LICENSE EXPIRATION DATE
PHONE #
?I.- 1�
CONTRACTOR PANY NAME
FAX #
3 r '•,. —j
❑
Mandated UST Testing: Fuel Mont Cert/SB989/Cath. Prot.
ZIP CODE
ADDRESS
10 Lk—U(
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RICH ENVIRONMENTAL
SERVICE STATION SERVICES
90-7162/3222
5006
LIC.#809850
5643 BROOKS CT
DATE
BAKERSHELD, CA 93308-3708
Oil well (Installation, Inspection, or re-inspection) X
(661) 392-8687
84
PAYTOTHE
ORDER OF
Security
V\ 0
Features
Included.
Details on back
In
LL
FD2021 (Rev 7/16)
'ANIL
EPCHASE
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JP Morgan Chase Bank, N.A.
Bakersfield, CA 93308
FOR f\
7U7ED*06NATURE
11200 SOO 611m 1:3222716 271: 30IB3S0 400 ?11@
❑
Additional Tank ATI
$ 98/tank
Aboveground Storage Tank (Removal, Mod, or Inspection) ATR
�$112 /tank
❑
•
Underground Storage Tank (Instal lation/Inspection) NI
-$ 900/tan
❑
Underground Storage Tank (Modification) MOD
$_200/site
Underground storage Tank (Minor Modification) MT
$ 171/site
$ 587/tank
Underground Storage Tank (Removal) TR
❑
Mandated UST Testing: Fuel Mont Cert/SB989/Cath. Prot.
$ 98/hr (2 hrs minimum) $196
NOTE: $98/hl- for each type of Lest/per site U ST sy stem /per I
even. if scheduied at the sat nie time TT
❑
Oil well (Installation, Inspection, or re-inspection) X
$ 98/hr
84
❑
Tent TENT
$ 98/hr
❑
After-hours inspection fee
$ 124/hr (2 hrs minimum) = $248
1
❑
Pyrotechnic (1 permit per event, plus an inspection fee of
$ 98/hr + (5 hrs min standby fee/insp) $588
$98/hr during business hours) PYRO
NOTE: After hours Pyrotechnic event inspection iLL23, jp-", 2 4/h
(5 'hrs min s'-andby fee/insp) S-62,i0,
L
7
❑
Re- inspection /Follow -up Inspection
$ 98/hr
114
❑
Portable LPG (Propane): # of Cages?
$ 98/hr
84
❑
Explosive Storage
$ 241
84
❑
Copying & File Research (File Research fee $51/hr)
$ 0.02/page
84
❑
Miscellaneous Site Plan Review (Carnival & Fairs/Vehicle
Display/Motion Picture)
$ 98/hr
84
FD2021 (Rev 7/16)