HomeMy WebLinkAboutUST-APPLBAKERSFIELD FIRE DEPARTMENT
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UNDERGROUND STORAGE TANK Prevention Services
1600 Truxtun Ave., Suite 401
PERMIT APPLICATION R F R s a I a Bakersfield, CA 93301
TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW 4 F1Rd
Phone: 661 - 326 -3979 Fax: 661 - 852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD ARTM 1'
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Permit #
TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY
CHECK ONE ONLY ❑ MODIFICATION OF FACILITY ❑ MINOR MODIFICATION OF FACILITY
STARTING DATE/ PROPOSED,' COMPLETION DATE
FACILITY NAME � �--�, '^ � EXISTING FACILITY PERMIT
FACILITY ADDRESS C ZIP CODE
TYPE OF BUSINESS � � � ,A � J APN #
TANK OWDER PHONE #
ADDRESS�^+, a� . ZIP CODE
CONTRA S1R CA LICENSE TCC #
ADDR ZIP CODE
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PH- ,CIE , BU INSLll,,''
�ICNSE # 1 AN ° TAE
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BRIEFLY DESCRIBE THE WORK TO BE DONE: