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Home My WebLink AboutTANK INSTALL APP 7.19.18BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK PRO1051D COMPLETION OPTS Prevention Services -- - 0 2101 H Street PERMIT APPLICATION vin® Bakersfield, CA 93301 TO CONSTRUCT- INSTALL NEW TANK (NEW FACILITY) /NEW ARTY Phone: 661 - 326 -3979 o FaX: 661 -852 -2171 TANK INSTALL (EXISTING FACI ❑TY) /MOD -MINOR MOD ..2 CONTRACTOR Complete Fueling Solutions CA LILENSEk 915128 "L Paget of IPermlt # ,- i1, CODE .93312. PHONE .A 661- 573 -7171 TYPE OF APPLICATION: N NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL /EXISTING. FACILITY CHECK ONE ONLY ❑ MODIFICATION OF FACILITY ❑ MINOR MODIFICATION OF FACILITY STARTING DATE/ PRO1051D COMPLETION OPTS FACILITY NAME Countryside Village EXISTING. FACILITY PERMIT A FACILITY ADDRESS 5900 Comanche Dr. c. Bakersfield ZIP BE 93307 TYPE OF BUSINESS Retail Gas Station APN A TANK OWNER Rupinder Jhaj PHONE R 661- 703 -5368 ADDRESS 22643 Ronnie CL cITY Bakersfield B11 CODE 13314 CONTRACTOR Complete Fueling Solutions CA LILENSEk 915128 ITC# - 5246167' ADDRESS 12601 JiisrnineAVe: CRY Bakersfeld i1, CODE .93312. PHONE .A 661- 573 -7171 I BAKERSFIELOCRY BUSINESS LICENSE C t700t34472 WORKMANS CORP4 RWCC64389038 INSURER anKn PP v BRIEFLY DESCRIBE THE WORK TO BE DONE: NL,I II n ew N..B I.—A1. ItKn —DA.. F.11 WPA 1 1 WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE E %PETTED AT SITE Y OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR. FUFV ® YES n NO SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON THE? D YES O NO THIS SECTION IS FOR STORAGE TANK IDENTIFICATION TANK # VOLUME UNLEADED REGULAR PREMNM DIESEL BONER .TANK MANUFACi11RE0.. 1 20,000 X Modem Welding 2 10.0110 % Motlem Weldin B IR000 X Modem Weldin Tank Testing Company NAME OF TIMING COMPANY Leak Defection Tetlmolo les PHONE NUMBER 855 - 2555325 MAILING ADDRESS 1889 North 0ma a Road. Tucson, AZ 8576 NAME OF TESTER 1-0 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 ICG# THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVEDBV