Loading...
HomeMy WebLinkAboutMINOR APP 10.15.19���, BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services �•v 2101 H Street PERMIT APPLICATION /�\ 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 Page 1 Of 1 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