HomeMy WebLinkAboutSams Permit 10-11-21UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRUCT -INSTALL NEW TANK (NEW FACILITY)/NEW
TANK INS ALL (EXISTING FACILITY)/MOD-MINOR MOD
Permit- #
BAKERSFIELD FIRE DEPAR71 MENT
p IV -V
antlon Sal ices
2101 H Strent
, CA 93301
Bakersfield
Phone: 661-326-3979 o Fax: 661-852-2171
Page I of 1
TYPE OF APPLIC-ATION: Lj NEW TANK INSTALL/NEW FACILITY Lj NEW TANK INSTALL/EXISTING FACILITY
(CHECK ONE ONLY) E] MODIFICATION OF FACILITY 0 MINOR MODIFICATION OF FACILITY
STARTING DATE/ 10104/2021 PROPOSED COMPLETION DATE 10/05/2021.
FACILITY NAME SAM'S CLUB GAS STATION #4819 EXISTING FACILITY PERMIT #
FACILITY ADDRESS 5625 OFOD D. ic Y AEF I LD ZIP CODE 933 1 3
TYPE OF BUSINESS GAS T AT11 IO I N APN
TANK OWNER SAM'S CLUB WEST PHONE "479.277.7388
ADDRESS 702 S.W. 8TH T. CITY TO lqVl L.LE ZIP I CODE 92716
CONTRACTOR JAUREGUI & CULVER, INC. CA LICENSE 708231 1"818241
ADDRESS A\/F ]cm ESCONDIDO ZIP CODE
q W M; 1,RR I n N 1 92025
R # OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? i SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO YES NO
ST mlq xs Von 8T,0qA--Gt TAS- IDENTIFICATION
TATINX
VOLU11,21u
E
DlE___zL
Ti
20,000 N OR. T H 20f0
4 2
T3
20,000 SOUTH 20K
20,000
12K
SK
Tank Tes- '-inq Company
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DATE APPROVED
'THIS APPLICATION BE—tCOMES A PERMal'17 WH HN APPP,.0VE"=:D
APPROVED BY
FD2086 (Rev 11/2015)