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Home My WebLink AboutMINOR APP 8.13.19CHECK ONE ONLY u muuIFICAlI.N L,r r,... —, - STARTING DAIS/ 7/05/2019 PROPOSED BAKERSFIELD FIRE DEPARTMENT STORAGE TANK `�; Prevention Services UNDERGROUND 2101 H Street PERMIT APPLICATION Bakersfield, 93301 Phone: 661 - 3226 6-3979 P Fax: 661 - 852 -2171 TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW PHONE Y 661 TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD Page L of 1 Permit # _ -_ _. -II LA u6m728 * NSE 672812 Icc x 5257282 TYPE OF APPLICATION: ❑ NEW TANK INSTALLINEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY M MTMnR MnnTFTfATTON OF FACILITY CHECK ONE ONLY u muuIFICAlI.N L,r r,... —, - STARTING DAIS/ 7/05/2019 PROPOSED - - - -- COMPLETION DATE 11 /O5 /2FA[IIIIY NAME EXISTING FACIGASKO FACLDYADORESS 430 E. CALIFORNIA AVE =--� "BAKERSFIELD TYPE OF W9NE55 GASOLINE DISPENSING FACILITY APR 9 TANK OWNER GILL SUKHJINDER PHONE Y 661 ADDRESS CITY CONT ACTCR BSSR INC, LA u6m728 * NSE 672812 Icc x 5257282 ADDRESS 6630 ROSEDALE HWY #B D"I' BAKERSFIELD MOE 93308 INS PHONES 661- 588 -2777 BAKERSFIELD CITY BUSINESS LICENSE Y teoG11071 WORKMAN5 COMPY22667 INSURER ACE AMERICAN INS BRIEFLY DESCRIBE THE WORK TO BE DONE: REPLACE EXISTING GILBARCO ADVANTAGE GASOLINE DISPENSERS WITH GILBARCO ENCORE 500S INSTALL ISD SYSTEM AND UPGRADE VEEDER -ROOT FUEL MONITOR TO LATEST SOFTWARE WATER TO FACILITY PROVIDED BY DEPTH TO GRW ND WATER SOIL TYPE EXPECTED AT SITE Y OF TANKS TO BE INSTALLED AAE THEY FOR MOTOR MEL? p YES p NO SPILL PREVENnON CONTROL AND CWNTERMEASURES PLAN ON FILE? 0 YES D NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION T11NK# VOLUME UNLEADED REGULAR PREMIUM DIESEL OTHER 1 20,000 X 2 10.000 X Tank Testing Company NAME OF TIMMS COMPANY BSSR INC, PHONE NUMBER 661- 566-2777 MAILING ADDRESS 6630 ROSEDALE HWY #B- BAKERSFIELD, CA 93308 NAME OF TURNER FIDEL CARRILLO IMF 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 ONCE 5257282 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED By FOIDB6 (R¢v ll /2015)