HomeMy WebLinkAboutTANK INSTALL APP 8.9.19BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK �•� Prevention Services
2101 H Street
PERMIT APPLICATION Bakersfield, CA 93301
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
TANK INSTALL (EXISTING FACI ❑TYRMOD -MINOR MOD Page 1 of 1
Permit #
TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY 0 NEW TANK INSTALLIEXISTING FACILITY
u v' n MnnYPYrATTnM nP PArII TTY M MINOR MODIFICATION OF FACILITY
STARTING DATE/
PROPOSED COMPLETION DATE
FACILITY NAME ,^ kite GJY, Inc.
121600
EXISTING FACILITY PERMIT #
FACILRY ADDRESS
White Lane
CI'TBakersfeld
ZIR CODE 93304
TYPE OF BUSINESS
Retail Gas Station
APO #
TANK OWNER Jeffrey Yam
PHONE '661-281-5379
ADDRESS 2600 White Lane
—Bakersfield
nPcD0E93304
CONTRA=RComplete Fueling Solutions
CA LICENSE 19161281C`
#5246167
ADDRESS 12601 Jasmine Ave.
C'Bakersfield
ZIP WOE 93312
PHONE #
661 - 573 -7171
BARE -5 D4 CFIY BUSINESS LICENSE #
1700134472
WORKMANS COMP R
065193577
MSU0.ER
BRIEFLY DESCRIBE THE WORK TO BE DONE:
Upgrade to New AB2481 tank system.
WATER TO FACILITY PROVIDFD BY
DEPIM TO GROUND WATER
SOIL TYPE EXPECTED AT STn
# OF TANKS TO BE INSTALLED
4
ARE THEY FOR MOTOR NEL?
N( YES D NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PAN ON FRE?
0( YES D NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK.
VOLUME
UMLEAOED
REGUTAR
PREMNM
OIEBEL
OTHER
20,000
x 12,000
X E85 8,000
20,000
X 12,000
X 8,000
Tank Testing Company
NAME OF TESTING COMPANY PHONE NUMBER
661- 706-6667
MAILING ADDRESS
5643 Brooks Ct. Bakersfield CA 93308
NAME OF TESTER
James Rich
IOCV
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 PERIURY, AND TO THE BEST OF MY KNOWLEDGE IS TRUE AND CORRECT.
NAME OF TESTER
RCOY
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
APPROVED BY
FDi D06 IRev 11/30151