HomeMy WebLinkAboutUST-APPL 1/23/2015BAKERSFIELD FIRE DEPARTMENT
STARTING DATE/ PROPOSED
01/13/2015
COMPLETION DATE
01/13/2015
FACILITY NAME Ramco Express
EXISTING FACILITY PERMIT #
FACILITY ADDRESS
.222 F Street
CITY Bakersfield
ZIP CODE
93301
TYPE OF BUSINESS I
GDF
APN #
TANK OWNER Ramco Express
PHONE # ( 6 6 1) 324-1758
ADDRESS
2222 F Street
CITY
Bakersfield
ZIP CODE
93301
CONTRACTOR
Confidence UST Services, Inc.
I CA LICENSE #
804904
ICC #
8018524 -U1
ADDRESS
16250 Meacham Road
CITY Bakersfield
ZIP CODE
93314
PHONE #
(661) 631 -3870 132864
BAKERSFIELD CITY BUSINESS LICENSE #
WORKMANS COMP #
1308371 -2013
INSURER
State Fund
BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace 89 Spill Bucket; replace test boots in 89 & 91
STP sumps; replace test boots in UDC's 1/2 & 3/4.
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER SOIL
TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL?
❑ YES ❑ NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
❑ YES ❑ NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
OTHER
1
10000 gal.
X
X
2
10000 gal.
X
X
3
10000 gal.1
X
X
Tank Testing Company
NAME OF TESTING COMPANY
Confidence UST Services, Inc.
PH NE NUMBER
661) 631 -3870
MAILING ADDRESS
16250 Meacham Road, Bakersfield, CA 93314
NAME OF TESTER
Frank Landa
ICC#
8018524 -U1
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
Frank Landa
ICC#
8018524 -U1
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED �j
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APPROVED BY
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