HomeMy WebLinkAbout1620 e brundage _envirotech report 6.22.20_85-126ABOVEGROUND STORAGE TANK
APPLICATION FORM
INSTALLATION/ REMOVAL OF AN AST
X INSTALL REMOVE
PERMIT # -I
FACILITY NAME
Coles Environmental Inc.
ADDRESS
_ 1620 E. Brundage Ln - Bakersfield_, CA 93307 -
OPERATOR NAME PERMIT TO OPERATE #
Dick Dahm -- --
OWNER NAME
Ben McNeill -
NUMBER OF TANKS TO BE INSTALLED /REMOVED
TANK #
CONTENTS VOLUME
�l�.�2�.....�
Oily Water _ u to 30,000 alg
b - -Pl - 'L2 - - - - Oily Water - - — - up Q,00- 0--gaL .�.�
t Sr�S
(cl Spec --,S ' -1
_� r-
uP-to 3=0
* e _ _ r0fty- Water- - - -- - -- -- i in
_ S
NAME OF COMPANY INSTALLING AND /OR REMOVING TANK
Virtica{ Tanks - - __ -- - -- -- -
MAILING ADDRESS
PO BOX 20790 - Bakersfield, CA 93380
NAME & PHONE # OF CONTACT PERSON
Sheila Buoni
DATE & TIME TANK IS TO BE INSTALLED /REMOVED
SIGNATURE OF APPLICANT DATE
APPROVED BY DATE
(f) Spec - SPI - 12F Oily Water
(g) Spec - SPI - 12F Oily Water
FD2081 (Rev 12/2015)
up to 30,000 gal.
up to 30,000 gal.
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
6 E R S f l
Bakersfield, CA 93301
FIRE
AR TM t
Phone: 661- 326 -3979 • Fax: 661 - 852 -2171
Page 1 of 2
ADDRESS
_ 1620 E. Brundage Ln - Bakersfield_, CA 93307 -
OPERATOR NAME PERMIT TO OPERATE #
Dick Dahm -- --
OWNER NAME
Ben McNeill -
NUMBER OF TANKS TO BE INSTALLED /REMOVED
TANK #
CONTENTS VOLUME
�l�.�2�.....�
Oily Water _ u to 30,000 alg
b - -Pl - 'L2 - - - - Oily Water - - — - up Q,00- 0--gaL .�.�
t Sr�S
(cl Spec --,S ' -1
_� r-
uP-to 3=0
* e _ _ r0fty- Water- - - -- - -- -- i in
_ S
NAME OF COMPANY INSTALLING AND /OR REMOVING TANK
Virtica{ Tanks - - __ -- - -- -- -
MAILING ADDRESS
PO BOX 20790 - Bakersfield, CA 93380
NAME & PHONE # OF CONTACT PERSON
Sheila Buoni
DATE & TIME TANK IS TO BE INSTALLED /REMOVED
SIGNATURE OF APPLICANT DATE
APPROVED BY DATE
(f) Spec - SPI - 12F Oily Water
(g) Spec - SPI - 12F Oily Water
FD2081 (Rev 12/2015)
up to 30,000 gal.
up to 30,000 gal.