HomeMy WebLinkAboutApplication 1-3-20207�N BAKERSFIELD FIRE DEPARTMENT
UNDERGROUND STORAGE TANK `®)
Prevention Services
FACILITY NAME
Fi t Liquor
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
Rage 1 of I
:Permit #
ADDRESS
TYPE OF APPLICATION: ❑ NEW TANK INSTALL/NEW FACILITY
❑ NEW TANK INSTAWEXISTING FACILITY
❑ MODIFICATION OF FACILITY
EX MINOR MODIFICATION OF FACILITY
STARTING DATE/ PROPOSED
COMPLETION DATE
FACILITY NAME
Fi t Liquor
EXISTING FACILITY FERMIT.A
I
FA"2'"23NECff
`takersfield
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TYP'ruef I a ilii
AIN I
TANKOWNERPHONE
n
ADDRESS
cm
ZIP CODE
`ONTntR Inc.
`_2'6' 2
(`5257282
AEBAW630 Rosedale H . #B
Bakersfield
III§308
IHD 588-2777
Bly(FJ(SFJEI/J¢{T,V�11$IYESS CENSE.
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KRC%%287
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BRIEFLY DESCRIBE THE WORK TO BE DOPE:
Replace 91 spill bucket
WATER TO FACILITY PRDVIOm BY
DEPTH TO GROUND WATE0.
SOIL TYRE EXPECTED AT SITE
O OF TANKS TO BE INSTALLED
ARE THEY FOR MOTOR NEL
O YES D NO
SIILL PRF TION CONTROL AND COHNTERMEASURES PIAN OM FlLE'
O YES D NO
-.75 SEC I 1S FOR STORAGE TANK IDENTIFICATION
TANK k VOLUME
UNLEADED REGULWR FRFMLUM DIESEL OTHER
NADJJR NIn C.FANtl
M 66Mosedale Hwy. #B, Bakersfield
NAP"r'igeElT�°arrillo
M57282
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
Fidel Carrillo
IDOF
5257282
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
FOR OFFICIAL USE ONLY
DATE APPROVED
APPROVED BV