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)