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Home My WebLink AboutMINOR MOD APP 7-17-18BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 33301 Phone: 661 - 326 -3979 • Fax: 661 -352 -2171 Page 1of1 TYPE OF APPLICATION: 0 NEW TANK INSTALL/NEW FACILITY 0 NEW TANK INSTALL /EXISTING FACILITY .. I TT1! i41 N{TILIn i MnnT=TrATTnm nf= PArT! T7Y k-nC% —N VIMF- WIMI 1 1..1 1'1 •.J Mii A'1rr'l i aviw v _ ___ _ STARTING DATE / 8 ^6 -18 PROPOSED COMPLETION DATE 9 -6 -18 FACILITY NAME EXISTING FACILITY PERMIT # ARCO #06353 FACILITY ADDRESS 3125 CALIFORNIA AVE, Cr3Y BAKERSFIELD ZIP CODE 93304 TYPE OF BUSINESS GASOLINE DISPENSING FACILITY APN # TANK OWNER PHONE # 909 ^241-7464 ADDRESS CITY -1 ZIP CODE CONTRACTOR CA LICENSE # ICC 5257282 BSSR INC, 672812 ADDRESS 6630 ROSEDALE HWY #B CITY BAKERSFIELD ZIP CODE 3308 PHONE # BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP # ,)266,% ACE AMERICAN INS, 66'1 - 588 -2777 � 1 � BRIEFLY DESCRIBE THE WORK TO BE DONE: REPLACE RED JACKET CPT CONTROLLERS AND VARIABLE SPEED TURBINES WITH NEW RED JACKET IQ CONTROL BOX. AND SINGLE PHASE 2HP TURBINES ON BOTH UNLEADED TANKS, ALSO REPLACE EXISTING RED JACKET ELECTRONIC LINE LEAK DETECTORS AND INSTALL RED JACKET MECHANICAL LINE LEAK DETECTORS WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? ❑ YES ❑ NO ❑ YES ❑ NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK # VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER X 2 X Tank Testing Company NAME OF TESTING COMPANY BSSR INC, PHONE NUMBER 661 -588 -2777 MAILING ADDRESS 6630 ROSEDALE HWY NAME OF 'TESTER ICC# FIDEL CARRILLO 5257282 UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS THE APPLICANT HAS RECEIVED, PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL REGULATIONS. THIS FORM HAS BEEN COMPLETED UNDER PENALTY OF PER3URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT. NAME OF TESTER ICC#' 52572$2 FlDEL CARRlLLO THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY FD2085 (Rev 11/2015)