HomeMy WebLinkAbout2317 L ST MOD APP 8.4.15BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK Prevention Services
'w 2101 H Street
PERMIT APPLICATION a 2 ": B s Bakersfield, CA 93301
NEW�� Phone: 661- 326 -3979. Fax: 661- 852 -2171
FACILITY
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY)/ NEW
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MODS
Page I of 1
Permit # 15-10W01-113
TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL /EXISTING FACILITY
rr ur_rly nrler- nKII V! M MnnTFT1- A- rTr1R1 rlF PArT1 n-V 1-1 MTKInP Mnr)TFTrATTr)N OF FA(-T1 TTY
STARTING DATE/ 712/15
PROPOSED COMPLETION DATE 7/3/15
FACILITY N E owntown Chevron
'�
EXISTING FACILITY PERMIT #
FACILITY ADDRESS
2317 L St.
�rrtY Bakersfield
ZIP CODE
93301
TYPE OF BUSINESS Gas Station
APN #
TANK OWNER
Sullivan Petroleum
PHONE #661-327-5008
ADDRESS 1000 Truxtun Ave.
CITY Bakersfield
ZIb1
CONTRACTOR Sunset Mechanical
CA LICENSE #
589517
IC§149952
ADDRESS 4617 Kimber Ave.
CITY Bakersfield
ZIP CODE 93307
PHONE # 661- 322 -0660
BAKKiE�RSFIELD CITY BUSINESS LICENSE #
�Z34U� UU #
IN broup
BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace diesel Spill bucket
WATER TO FACILITY PROVIDED BY
DEPTH TO GROUND WATER
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
TEO RE THEY FOR MOTOR FUEL?
YES ❑ NO EX
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES ❑ NO
THIS SECTEON IS FOR STORAGE TANK ,IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
OTHER
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 PERJURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER
Ed Carpio
ICC#
5249952
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
APPROVED BY