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Home My WebLink AboutMINOR MOD APP 2.5.19PERMXT APPLICATION TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Permit # Page IofI TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY ft- "Mt-e nr11= 111%n11 V% n Mr%n7cTrA-rrnn1 rip PAr^TI TTY 141 MTNnR MnnTFTrATTnN nF FArTI Try - - -- -- -- - STARTING DATE/ 12-27-18 PROPOSED Prevention Services �ERSf, 2101HStreet 6 0 FIRE Bakersfield, CA 93301 et aRt'M T Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 Page IofI TYPE OF APPLICATION: ❑ NEW TANK INSTALL /NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY ft- "Mt-e nr11= 111%n11 V% n Mr%n7cTrA-rrnn1 rip PAr^TI TTY 141 MTNnR MnnTFTrATTnN nF FArTI Try - - -- -- -- - STARTING DATE/ 12-27-18 PROPOSED COMPLETION DATE 1-27-19 FACILITY NAME UNION VALERO I EXISTING FACILITY PERMIT # FACILITY ADDRESS 1129 UNION AVE 1Cny BAKERSFIELD ZIP CODE 93307 TYPE OF BUSINESS GASOLINE DISPENSING FACILITY APN # TANK OWNER PHONE # 661 -395 -0868 ADDRESS CITY ZIP CODE CONTRACTOR BSSR INC, CA LICENSE # ICC # 5257282 ADDRESS 6630 ROSEDALE HWY #B CITY BAKERSFIELD ZIP CODE 93308 PHONE # 661- 588 -2777 BAKERSFIELD CITY BUSINESS LICENSE # 1 18001 10762 WORKMANS COMP # 22667 INSURER ACE AMERICAN INS, BRIEFLY DESCRIBE THE WORK TO BE DONE: REMOVE ALL OVERFILL PREVENTION VALVES AND TEST FOR PROPER OPERATION AND REPLACE OVERFILL VALVES AS NEEDED. UPON COMPLETION, TEST OVERFILL VALVES WITH FIRE DEPT. 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 TANK MANUFACTURER 1 10,000 X 2 10,000 X 3 10,000 X Tank Testing Company NAME OF TESTING COMPANY BSSR INC, p PHONE NUMBER 661-588 -2777 MAILING ADDRESS 6630 ROSEDALE HM #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# 5257282 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY cn'nua