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Home My WebLink AboutMINOR MOD APP 9.6.19`�� BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services FACII NAME Sparkling Image Car Wash 2101 H Street PERMIT APPLICATION ♦�� Bakersfield, CA 93301 TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY)MEW Phone: 661 -326 -3979 F Fax: 661 - 852 -2171 TANK INSTALL (EXISTING FACI❑TY) /MOD -MINOR MOD TANK OWNER Wash Depot Holdings, LLC PHONE `805 -443 -6716 page 1 of 1 Permit # ZIP CODE 02148 TYPE OF APPLICATION: ❑ NEW TANK INSTALUNEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY (CHECK ONE ONLY) ❑ MODIFICATION OF FACILITY N MINOR MODIFICATION OF FACILITY STARTING DATE /TBD PRONSED COMPLETION DATE TBD FACII NAME Sparkling Image Car Wash I EXISTING FACILITY PERMIT A FA`TTITY ADDRESS 2301 H Street cm Bakersfield nPmDE93301 TYPE OF WSINESS GDF, Car Wash APN 8 TANK OWNER Wash Depot Holdings, LLC PHONE `805 -443 -6716 ADDRESS 14 Summer Street, Suite 302 Cm Maiden, MA ZIP CODE 02148 CONTRACTOR Confidence UST Services, Inc. FA UCENSE A 804904 PEE `8180171 ADDRESS 16250 Meacham Rd. tl1Y Bakersfield ITP`DDF 93314 PHONE A661- 631 -3870 BAKESFIELD Cm BUSINESS LICENSE A -1 r� WORKMAN$ COMPA 13083/1 L019 INSURER State Fun BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace Diesel spill bucket with new Phil -Tite 5 gallon, MN 85100 -1 WATER TO FACTS PROVIDED BY DEPTH TO GROUND WATE0. SOIL TYPE EXPECTED AT SITE R OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? . YES O NO SPILL PREVENTION CONTROL AND COUNTERMEASURES MAN ON FILET n YES 0 NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK VOLUME DNWADED REGULAR PREMIUM DIESEL OTHER 1 12000 X X 2 12000 X X 3 12000 X Tank Testing Company NAME OF TESTING COMPANY PLroNE NUMBER MAILING ADDRESS NAME OF TESTER UCCA 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 Frank Landa LCCN 1 8180171 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY APPROVED BY