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HomeMy WebLinkAboutMINOR MOD APP 9.19.19BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention O1 Tru Avenue, I 1501 n/MUn Avenue, 1° Floor PERMIT APPLICATION Bakersfield, G\ 93301 TO CONSTRUCT- INSTALL NEW TANK (NEW FACILI'rv)'MEW F Phone: 661 - 326 -3979 s Fax: 661 -852 -2171 TANK INSTALL (EXISTING FACILITY)IMOD -MINOR M0D Pape 1& 1 1 =it t TYPE OF APPLICATION: ❑ NEW TANK INSTALUNEW FAQLTTY ❑ NEW TANK INSTA EXISTING FACILITY •vreTTnN nc r.ml m (I IV MTNOR MOTFTCA N OF FAGDITY STPRTDI6 DATP! _ _ _ -. PROPOSE cNoLErm3w DAtl FA ED6Tw6 FImIiYPaDDr t fNDLLIYA00R65 \ v; TnB OR wbTI�S API! P TN8:0WNal PRONE! De UCVGZ♦ h t _J ADDRESS. FxpBS \- Z..- b"b8fj:. cnRuct3aDS waNDwsO s walla( war3LV OBOIDlETN= WoRNro fie o�E: CH wnietro FAm31Y PROV6ID M DFFINro 6110UX0 WATat SOD.TYPE EI6ECi®RT SDE !f OFTAreCi TD aE DLSfALLED .. ARE TIAY f00. MOTOR FUFU ❑ T6 O ND SPILL PPEVENIION CONntOL AND WUNIaWE49DRE5 N,1N Ofl FDEi O YE6 ❑ NO !THIS:SECTION 15 FOR STORAGE TANK IDENTIFICATION ' mmwy - VOLUME InM1F I6MAR PMWN Does. nTr®L 21C, ✓ Z ✓ Tank Testing Comperry NYI[OPY6rDN � \�(\ PNDNF MDM.aL \- J- '�a -ab 1 .MANE OPiTAitR �, � � � uc Ol�ac THE APPLICANT HAS RECEIVED, UNDERSTANDS, AND WILL COMPLY WITH THE ATTACHED CONDITIONS OF THIS PERMIT AND ANY OTHER STATE, LOCAL, AND FEDERAL R ULATIONIL TI74 FORM HAS BEEN COMPLETED UNDER OF PERIURY, AND TO THE BEST OF MY IOiOWLEDSE IS TRUE AND CORRECT. \PENALTY wRw wnsns'-� \ THIS APPLICATION BECOMES A PERMIT WHEN APPROVED -- FOR OPFIQAL USE ONLY . ice. AP/IIOVFD BY FD2086 (Rev 08/09)