HomeMy WebLinkAboutMINOR MOD APP 12.12.19BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK
&Id%r
PFevention Services
I "USTING FACILTIY PERMITS
FACILm' ADDRFSs 2800 PANAMA LANE EITM BAKERSFIELD
2101 H Street
PERMIT APPLICATION
FErr a
Bakersfield, CA 93301
TO CONSTRUCT-INSTALL NEW TANK (NEW FACILITY) /NEW
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Phone: 661 - 326 -3979 F Fax: 661- 852 -2171
TANK INSTALL (EXISTING FACILITY) /MOD-MINOR MOD I Page 1 of 1
Permit #
TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY ❑ NEW TANK INSTALL/EXISTING FACILITY
OF FACILITY III MINOR MODIFICATION OF FACILITY
STARTING DATE/ 12 -10 -18 PROPOSED
COMPLETION DATE 12 -17 -18
FACILITY NAME ARCO AM /PM
I "USTING FACILTIY PERMITS
FACILm' ADDRFSs 2800 PANAMA LANE EITM BAKERSFIELD
ZIP CODE 93313
WPEOFOUSINF55 GASOLINE DISPENSING FACILITY
AMA
TANK OWNER SAYEGH GROUP INC,
MORE 661
- 835 -0643
ADDRESS 2800 PANAMA LANE
°"BAKERSFIELD
21F �E 933113
N`
ED"A`TOL BSSR INC,
G UCENSEA
IOC C2572V2
J
ADDRESS 6630ROSEDALEHWY #13
BAKERSFIELD
ZIP EDDE 93308
PHONE R 661 -588 -2777 BAKERSFIELD C1lY &ISINESS LICENSE C
WORKMANS COMP 4 22667
ACE AMERICAN I
TALL L NEW BALANCE HANGING HARDWARE, INSTALL BRAVO CONVERSIQN EMME IN QDC'S T
ACCOMMODATE FOR NEW DISPENSERS, INSTALL NEW VEEDER -ROOT ISO IN EXISTING VEEDER -ROOT
MONITOR AND REMOVE EXISTING INCON MONITOR
WATER TO FACILITY PROVIDED BY
DEPM TO GROUND WATER
SOIL TYPE EXFERED AT SITE
Y OF TANKS TO BE INSTALLED
ME THEY FOR MOTOR NEV
O TES O NO
SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
O YES D NO
THIS SECTION IS FOR STORAGE TANK IDENTIFICATION
TANK Y
VOLUME
UNLE1101D
REQILAR
PREMIUM
DtFSIL
WNER
TANK MANUFACTURER
1
110,000
1 87-1
2
91
3
87 -2
4
NOT USED
Tank Testing Company
NAME OF TESTING COMPANY BSSR INC,
PHONE NUMBER 661- 588 -2777
MAILERS ADDRASS6630 ROSEDALE HWY #B
NAME OF TOPPER FIDEL CARRILLO
IDDN 5257282
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 I5 TRUE AND CORRECT.
NAME OF TESTER
FIDEL CARRILLO
ICCR
I 5257282
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFIQAL USE ONLY
DATE APPROVED
APPROVED BY
FD20E6 (Rev 11/2015)