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Home My WebLink AboutMINOR MOD APP 9.26.194f4-8%1N BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Services FACILITY NAME Fastrip #6 2101 H Street PERMIT APPLICATION Bakersfield, CA 93301 TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW � Phone: 661 - 326 -3979 F Fax: 661 -852 -2171 TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Gage 1 of 1 Permit # ADDRESS PO Box 82515 C- Bakersfield TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY Irucry nMF Ow Vi n Mom FTCATTON OF FACILITY 10 MINOR MODIFICATION OF FACILITY STARTING DATE/ 6/13/200119 PROPOSED COMPLETION DATE O /13/2019 IXIIS FACILITY NAME Fastrip #6 E LNG FACRRY PERMIT a F ALAI 'YADORESS1640 South Chester Avenue `m Bakersfield zRIWDE93304 TYPE OF BUSINESS GDF APN A TANK OWNER Jamieson HIII PHONE A 661- 393 -7000 ADDRESS PO Box 82515 C- Bakersfield ZIP CODE 93380 -251 CONTRACTOR Confidence LIST Services, Inc. CA LICENSE a 804904 'cc' 8180171 ADDRESS 16250 Meacham Road Bakersfield ZIP CODE 93314 PHONE #661 - 631 -3670 2K�E RELD CITY BUSINESS LICENSEE WORKMANS COMP Y 1308371-2017 INSURER State Fun BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace OPW P711 -EVRPL Vapor Spill Bucket, OPW 61VSA -EVR Swivel Adapter and Nipple on 91 vaporproduct WATER TO FACLIRY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SUE E OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? U YES D NO SMLL PREVENTION CONTROL AND COUNTERMEASURES FUN ON FILE? O YES n NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK* VOLUME UNIEAOED REGULAR PREMSUN DIESEL OTHER 1 (87 Master) 12000 X X Tank Testing Company NAME OF TESTING LONPA I�onfidence UST Services PHONE NUMBER 661 - 631 -3870 MAILIIftn "eacham Road NAME OF TESTER Bryan Self IOC` 6022604 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. NAMEOFTESTER Jason Woods LCGY 8492093 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY