HomeMy WebLinkAboutMINOR APP 10.15.19���, BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK
Prevention Services
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2101 H Street
PERMIT APPLICATION
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Bakersfield, CA 93301
TO CONSTRUCT - INSTALL NEW TANK (NEW FACILITY) /NEW
Phone: 661 - 326 -3979 R Fax: 661 -852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD -MINOR MOD
TANK OWNER Bill Ross
PHONE# (661) 631 -5880
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Permit #
2IPco.E 93307
TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑
NEW TANK INSTALL/EXISTING FACILITY
rc HFfK nNF nNI Y1 M MODIFICATION OF FACILITY iE
MINOR MODIFICATION OF FACILITY
SFARTINGDAT% TBD
PROPOSED COMPLETION DATE
FACILITY NAME Bakersfield City School District
EXISTING FACILITY PERMFT I
FACILITYADDRESS 1501 Feliz Drive
CITY Bakersfield
zIPCODE 93307
TYPE OF BusmEss Bus Maintenance
APN*
TANK OWNER Bill Ross
PHONE# (661) 631 -5880
ADDRESS 1501 Feliz Drive
cm Bakersfield
2IPco.E 93307
CONTRACTOR Cal Valley Equipment
CAUCENSE#998733
Icc* 8160834
ADDRESS 7608 Fruitvale Avenue
Err, Bakersfield
zIP mDE 93308
PHONE# (661) 327 -9341
BAKERSFIELD CITY BUSINESS LICENSE 4
20 001407 76
WORKMANS COMP Y 914518917
INSURER A15
BRIEFLY DESCRIBE THE WORK TO BE DONE: Replace test boots under the unleaded and diesel dispensers. Reseal electrical
Penetration in the 87 STP sump. Disconnect and cap off the unused product lines on the 87 and diesel
STPS and in the UDCs.
WATER TO FACILITY PROVIDED BY
DEPTH To GROUND WATER
SUIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR FUEL?
D YES 0 NO
SPILL PREVEMIONCONTROL AND COUNTERMEASURES PIN ON RUE?
O YES D NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK #
VOLUME
UNLEADED
REGULAR
PREMIUM
DIESEL
OTHER
10,000
X
X
2
10,000
X
Tank Testing Company
NAME OFTESRNG COMPANY Cal Valley Equipment
PHONE NUMBER (661) 327 -9341
MAIUNGADDREss 7608 Fruitvale Avenue, Bakersfield, CA. 93308
NAMEOFTEGTER Jerry Range
ICC# 8160834
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
ICCY
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
APPROVED eY