The URL can be used to link to this page

Home My WebLink AboutMINOR MOD APP 9-6-18BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY ie -uctIv nNIC nnii VN n MnnTGTrATTr1N nF GArT[ TTY 5n MTNnR Mr)r)TFTrATTnN nF FArTI TTY STARTING DATE/ 8/20/18 8/24/18 PROPOSED COMPLETION DATE FACILITY NAME Howard's Mini Mart EXISTING FACILITY PERMIT # 15- 021- 003735 FACILITY ADDRESS 3300 Planz Rd CITY Bakersfield ZIP CODE 93309 TYPE OF BUSINESS C -Store / Gas Station APN # - TANK OWNER Jamieson Hill PHONE # 661- 393 -7000 ADDRESS PO Box 82515 CITY Bakersfield ZIP CODE 93380 CONTRACTOR Jaco Oil Company TCA LICENSE # 70529 ICC # 8723752 ADDRESS PO Box 82515 CITY Bakersfield ZIP CODE 93380 PHONE # 661- 868 -9484 BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP # WC3486600 INSURER American Zurich Ins. Co. BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace Existing Spill buckets to accommodate a 5 gallon minimum capacity. WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED 0 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 Tank Testing Company JNoo Oil OF TESTING COMPANY PHONE NUMBER 661 - 633 -7508 V J MAILING ADDRESS PO Box 82515 Bakersfield, CA 93380 NAME OF TESTER Brian Williams ICC# 8723752 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 ICC# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY Fm5nar, ren" na nog