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HomeMy WebLinkAboutMINOR MOD Application 3-25-22^� BAKERSFIELD FIRE DEPARTMENT UNDERGROUND STORAGE TANK Prevention Services 2101 H Street PERMIT APPLICATION Bakersfield, CA 93301 TO CONSTRUCT -INSTALL NEW TANK (NEW FACILITY)/NEW Phone: 661-326-3979 • Fax: 661-852-2171 TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD Page 1 of 2 Permit # TYPE OF APPLICATION: FINEW TANK INSTALL/NEW FACILITY F-1 NEW TANK INSTALL/EXISTING FACILITY (CHECK ONE ONLY) [-] MODIFICATION OF FACILITY El MINOR MODIFICATION OF FACILITY STARTING DATE/ ASAP PROPOSED COMPLETION DATE TBD FACILITY NAME H Street Sparkling Car Wash EXISTING FACILITY PERMIT # FACILITY ADDRESS 2301 H Street CITY Bakersfield ZIP CODE 93301 TYPE OF BUSINESS GDF APN # TANK OWNER Wash Depot Holdings PHONE #407-650-1177 ADDRESS 2400 E. Commerical Blvd # 901 CITY Ft. Lauderdale ZIP CODE 33308 CONTRACTOR NWESTCO, LLC CA LICENSE # ICC # 8177076 ADDRESS 2209 Zeus Court CITY Bakersfield ZIP CODE 93308 PHONE #661-631-3870 BAKERSFIELD CITY B SI ICENSE # WORKMANS COMP #XWS57384241 INSURER Ohio BRIEFLY DESCRIBE THE WORK TO BE DONE: REPLACE SPILL BUCKET ON THE 91 TANK WATER TO FACILITY PROVIDED BY DEPTH TO GROUND WATER SOIL TYPE EXPECTED AT SITE # OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE? YES El NO YES ❑ NO THIS SECTION IS FOR STORAGE- TANK IDENTTFICATTON TANK # VOLUME UNLEADED REGULAR ; PREMIUM DIESEL OTHER Tank Testing Company NAME OF TESTING COMPANY PHONE NUMBER MAILING ADDRESS NAME OF TESTER ICC# 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 HENRY MERAZ ICC# 8177076 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED FOR OFFICIAL USE ONLY DATE APPROVED APPROVED BY FD2086 (Rev 01/2022)