HomeMy WebLinkAboutMINOR MOD Application 10-17-22UNDERGROUND STORAGE TANK
PERMIT APPLICATION
TO CONSTRICT -INSTALL NEIN TANK (NEW FACILITY)/NEW
TANK INSTALL (EXISTING FACILITY)/MOD-MINOR MOD
Permit # I
Page 1 of 1
TYPE OF APPLICATION: F� NEW TANK INSTALL/NEW FACILITY M NEW TANK INSTALL/EXISTING FACILITY
(CHECK ONE ONLY) MODIFICATION OF FACILITY Q MINOR MODIFICATION OF FACILITY
STARTING DATE/ASAP PROPOSED COMPLETION DATE 'ASAP f
FACILITY NAMEG A SKO FOOD MART EXISTING FACILITY PERMIT #
FACILITY ADDRESS 430 East California Ave CITY Bakersfield ZIP CODE 93306
ITYPE OF BUSINESS Gas Station I APN # I
TANK OWNER Arm n Investments Inc. I PHONE # I
WATER TO FACILITY PROVIDED BY
I DEPTH TO GROUND WATER
Replace amd Retest Bucket
SOIL TYPE EXPECTED AT SITE
# OF TANKS TO BE INSTALLED ARE THEY FOR MOTOR FUEL? SPILL PREVENTION CONTROL AND COUNTERMEASURES PLAN ON FILE?
YES NO YES Q NO
THIS SECTION IS FOR. STORAGE TANK IDENTIFICATION
NAME OF TESTING COMPANY Advanced Compliance I PHONE NUMBER 661-706-4321
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I MAILING ADDRESS 4007 Brae Burn Dr Bakersfi