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Home My WebLink AboutMINOR MOD APP 6-29-18UNDERGROUND STORAGE TANK F =° FACILITY NAME ARCO 8 'E R S F 1 D PERMIT APPLICATION .4 FRF F T ARM TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW TYPE OF BUSINESS GASOLINE DISPENSING FACILITY TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD � Permit # ADDRESS CITY TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY //-I cr-nsi .rNhir- v\ f-t fu f%MTCT1- A"rTnN) nC cnrT1 TTV BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 Page 1of1 ❑ NEW TANK INSTALL /EXISTING FACILITY M MTIUnD Mnr1T1:TrATTnN nF FACTI TTY STARTING DATE/ PROPOSED 5 -25 -18 COMPLETION DATE 6 -25 -18 FACILITY NAME ARCO EXISTING FACILITY PERMIT # FACILITY ADDRESS 3125 CALIFORNIA AVE. CzTV BAKERSFIELD ZIP CODE 93304 TYPE OF BUSINESS GASOLINE DISPENSING FACILITY APN # TANK OWNER PHONE # 661 - 634 -0150 ADDRESS CITY ZIP CODE CONTRACTOR BSSR INC. CA LICENSE # I C61 /D- 40 /HAZ ICC # 5257282 ADDRESS 6630 ROSEDALE HWY #B CITY BAKERSFIELD ZIP CODE 93308 PHONE # 661- 588 -2777 BAKERSFIELD CITY BUSINESS LICENSE # 1800110762 WORKMANS COMP # 22667 INSURER ACE AMERICAN INS. BRIEFLY DESCRIBE THE WORK TO BE DONE: REPLACE ANNULAR SENSORS FOR BOTH 87 TANKS, MAKE REPAIRS TO OVERFILL ALARM AND TEST FOR PROPER OPERATION. 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 IDE6 TEFICATIOG TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER TANK MANUFACTURER Tan Testing Company NAME OF TESTING COMPANY BSSR INC. PHONE NUMBER 661 -'5588 -2777 MAILING ADDRESS 6630 ROSEDALE HWY #B NAME OF TESTER FIDEL CARRILLO ICC# 5257282 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 FIDEL CARRILLO ICC# 1 5257282 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY m7nRf, tppv i i i2nisst