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Home My WebLink AboutApplication 011519., BAKERSFIELD FIRE DEPARTMENT FACILITY NAME Fastrip #6 Prevention Services FACILITY ADDRESS 1640 South Chester Avenue 2101 H Street i�. Bakersfield, CA Phone: 661-326-3979 9 Fax: 661-852-2171 Page Iof1 TYPE OF APPLICATION: 0 NEW TANK INSTALL /NEW FACILITY 0 NEW TANK INSTALL /EXISTING FACILITY is^ur-r -1i nhQC nrul vN rl Mnr'iTCTrA rTnRi nP 1:ArT1 TTl -9 1 MTMnP MOr iTFTi'ArTr)N ()F FAC-TI TTY STARTING DATE /TBD PROPOSED COMPLETION DATE TBD FACILITY NAME Fastrip #6 1 EXISTING FACILITY PERMIT # FACILITY ADDRESS 1640 South Chester Avenue CITY Bakersfield j ZIP CODE 93304 TYPE OF BUSINESS GDF APN # TANK OWNER Jamieson Hill PHONE # 661 - 393-7000 ADDRESS PO Box 82515 CITY Bakersfield ZIP CODE 93380 -251 CONTRACTOR Confidence UST Services, Inc. ca LICENSE # 804904 ICC # $180171 -UT/ ADDRESS 16250 Meacham Road CITY Bakersfield ZIP CODE 93314 PHONE # 661 - 631 -3870 132864 BAKERSFIELD CITY BUSINESS LICENSE # WORKMANS COMP # 1308371 -2017 INSURER State Fun BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace (E) drop tubes with new OPW 71 SO -CT model and retest to verify proper operation on 87 -1 tank. 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 1 (87 Master) 12000 X X Tank Testing company NAME OF TESTING COMPANY PHONE NUMBER MAILING ADDRESS NAME OF TESTER ICC# 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 PER7URY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT, NAME OF TESTER Frank Landa ICC# 8180171 -UT THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY Fr):)m; (Rev 11/20151 1