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HomeMy WebLinkAboutBell Ter.10-11-21_2-5BAKERSFIELD FIRE DEPARTMENT Prevention Services ABOVEGROUND STORAGE TANK 2101 H Street Bakersfieid, CA 93301 APPLICATION FORM �`Q Phone: 661-326-3979 • Fax: 661-852-2171 INSTALLATION/REMOVAL OF AN AST P3ge 1 of ✓ INSTALL REMOVE PERMIT - FACILITY NAME Kern High School District ADDRESS -- 370. 1 E. Belle Terrace Bakersfield, CA. 93307 OPERATOR NAME PERMIT TO OPS u r.� r = Kern High School District Ot•:t.ER ..A'� Kern High School District t OF TANKS TO BE INS-ALLED REMOVEC _ TANK # CONTENTS VOLUME CUBIC FEET Used Motor Oil (Waste oil) 600 gal. UL 142 NAME OF COMPANY INSTALLING ANDiORREMOVif.G7AW Falcon Services & Construction, Inc. I---- MA:Llw.G:.DORESS4725 Panama Ln. Suite D3-127 Bakersfield,- CA. 93313 NAME & PHC%Ec XOF CONTACT PERS0% 539-3765 BryanMcNabb (406) DATE &TIME TANK IS TO BE INSTALLED/REMOVED • Pending_ Approval SIGNATJRE OF APPIIUNT ` y j DATE -�- 7/16/21 APPROVED BY - t DATE_ FD2081 (Rev 09/20)