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Home My WebLink AboutUNDERGROUND TANK CITY OF BAKERSFIELD~ , OFFICE OF ENVIRONMENTAL SERVICES 1715 Chester Ave., Bakersfield, CA 93301 (661) 326-3979 · UNDERGROUND S~/E,~NKS - UST FACILITY ~YPE OF ACTION [] I NEW. SITE PERMIT ["'] 3. RENEWAL PERMIT (~ .5. CHANCre OF iNFORMATION (,.,,~oecd~ cttange. ~ Check one ;tern on~y) I~ 4. AMENDED PERMIT local ule OnlyI, E~ 8. TEMPORARY SITE CLOSURE Page ~ o~ E] ? PERMANENTLY CLOSED SITE [] S. TANK REMOVED I. FACILITY I SITE INFORMATION BUSINESS NAM~ (Same a~ FACILITY NAME ~ DBA - Ooing 8~ane~ ~) 3 N~RES~C~O'~ gTRE~ - - BUSINESS ~S ST~Tm~ ~ 3. F~M ~ 5. CO~ERC~L ~ 2. DISTRI~OR ~ 4. ~OCES~R ~ 8. O~ER FAG'fLITY OWNER TYPE r'"] 1. CORPORATION [] 2, INDIVIDUAL {~'~'~ARTNERSHIP '~ ov~er d UST a put;~c agency, name c~ ~ul~'~s~ c:d [] 4. LOCAJ_ AGENCY/DISTRICT' ~ 5. COUNTY AGENCY* [] 6. STATE AGENCY" [] 7. FEDERAL AGENCY~ 402. office w~ o~o~ale~ ~e US3*. PROPERTY OWNER TYPE I-I 1. CORPORATION [] 2. INDMDUAL 3[~. PARTNERSHIP II. PROPERTY OWNER INFORMATION ' [] 4. LOCAL AGENCY / DISTRICT [] 5. COUNTY AGENCY ZIP CODE 412. [] $. STATE AGENCY 413. F-I 7. FED~P, AL AC,,e~ III. TANK OWNER INFORMATION TANK O~:~N~ · TANX OWNER TYPE [] 2. INDIVIDUAL [--1 1. CORPORATION ~-ARTNERSHIP [] 4. LOCAL AGENCY / DISTRICT [] S. COUNTY AGENCY 414. I/4~HONE \ 418. 415. 416. ZIP CODE 419. [] 6. STATE AGENCY 420. [] 7. FEDERA/. AGENCY IV. BOARD OF EQUALIZATION UST STORAGE FEE ACCOUNT NUMBER TY (TK) HQ 4 - Call (916) 322-9669 if questions arise 421. V. PETROLEUM UST FINANCIAL RESPONSIBILITY '"!' INDICATE METHOD(S) [] 10. LOCAL GOV"i' MECHANISM [] 99. OTHER: ~"~. SELF-INSURED [] 4. SURETY BOND [] 7. STATE FUND E] 3. INSURANCE [] 6. EXEMPTION STATE FUND & CO 422. VI. LEGAL NOTIFICATION AND MAILING ADDRESS Check one b~x ID indicate whic~ addre~ N'~3uld be u~ed fo~ legal no{Jflcal~'~ and mail~. [] 1, FACILITY [] 2. PROPERTY OWNER ~;~'"~"~K OWNER 423. Lega~ notifications and mailings will be ~e~t to t~e tenk owne~ unle~ box 1 ~' 2 i$ c~eck~J. ~ Vllo APPLICANT SIGNATURE C~'fiflca0o~: I c.~lify that the inf'o~'mati~'t provided h~n ~ME OF AP~I~T (p~nO 426. STATE UST FACILITY NUMBER (F(~local use only) TITLE OF APPt. ICANT 427. 428. 199~ UPG/~,OE CERTIFI~.ATE NUIM~ER (For Iocsl u~e only) UPCF (7/g9) S:\CUPAFORMS~swrcb-a.wpd ,__.~.~ CITY OF BAKERSFIELD "~ OFFI~I~ OF ENVIRONMENTAL Si tV'ICES 1715 Chester Ave., BakerSfield, CA 93301 (661) 326-3979 h TANK 432 J TAM( ?.~'~JFAC;T1JFIF.,q 'l T'YI~ O~ TAM( 0 · AWAT~ON FUe. 0 ~. or)e~ 0 s. c:o~nma"~ C] ~. u~m Cl & Fm)C:OMPATm~V~0(~,Em,~ 0~. om~, ~7 rlt.~ ~AL,L FI.OAT TAM~ F~O WITH ~ MA TEI~ ? :~Cff (7/~9) S:~CU PAPORM~,$WI~CB-8.WPo I I II ~ 2. SUCTK3N C] 2, 00UG~.E waC~. C:] <J~. OTHER O 2. SI'AI,'~ES.~ STEEL C] 3. I=~T$C COM~&1'~E WITH [-] $. STEEL ~ COATING C] 3. O0~NT~K~J~ O(SPEI~ PAN ~ wr114 MJTO SHUT OFF FO~ O~PEN~.R · AUO~L~ ~ V~UAL ~ I-1 a. NONE IX. QWNER/C~ERATOR SIGNATURE J~CF (7/99) 47S S :~CUPAF ORIVI~gWRCI~S'WP Di · '-0 CITY OF BAKERSFIELD~; ' OFF[~[~ OF ENVIRONMENTAL S 'ICES [ 7 [ 5 Chest~q"Ave., Bakersfield, CA 93301 1) 326-3979 ~oc~ r,~~ w~ acrl~ L TANK DII$C~IFTI(~I C~s. um:,e~N C} 4. ~NOI~WALLiNAVAIJ~T 0 & F~CX:a~PA'rlI,EmO~ ~ I-Iw. OTteR ~S~CkOM M~ ~LL ~ OVERIrl,.L I~& UNLJNED Cl ~. o~m , , 0~. ] I. ] ~. AUrO~T~ r~q~ GAUGe3 ~ OO{~UI WAU. TDO( OR TAI~c IMrH iu~o~q (~ oM M $1~ I-! 1. Or# O~ :F (Tt'g~l ~ :~CUPA~O RM,S%mA~C$4~'V~ C CCNST~UC~:C~' ~'"~NC4.~ WALL !¢~OTEC T~N [] 2. o~ue4.E vva~.~. C] ~. OTkER MA/,~F AC"I'~R E R 0 ~. a~u~E STEEL C]a. F~C..O~'^rm~ ~ m0~ ~nv~0~ ~ 2, ~TA~N{.ES,~ ~TEEL r""~ ?. GALVA,NIZ~O ,~rEEL 0 3. ~..~T~C COMPA~.~ W~'H CON~.NT~ I--1 S. ~x~.~l~ (:3 ~. o~ I-1 s. S'~EL w COAr~ r-1 g& uN~<~w~ LEAl( DET~CTX3N C] 4. IX, (3~qMER/(~ERATOR SIGNATURE ,CF 471 474 S :\CU pAF ORM..q~A~C~"It .WP D _.~,~ CITY OF BA~ERSFIELD ; . OFFI~ OF E~VIRON~ENTAL S~VICES 1715 ChesteTAve., Bakersfield, CA 93301 '~61) 326-3979 I. TANK ~ I. TAHK t~I~rRUCrlI~ r~c~r~ I-I s. Imatew~i / rJ 4. ~NOI~WALLINAVALILT [] & ~U'CO~ATmCeVa~OO~U~. 0~. UeaO~OWN 0 ~o. %L ANO OV~RF~.L a~. omrm. ~4g ;m,.r'.,~'"~'~e'~,- ~'~.'.-'. ' ."' :Vr"~.;:..,~.;.'- ":. ,' '-."-..' ""'~'.,,,:Lt~--,, I--I ~. Vt,,eUAL(~3L~W,~U.L~NVAUL'roe~.Y) 1'3 3. MANUAL ~,e~,e'roeJN~ ~7 :F (7/9g) S:~CUPAPORM,.~,,gWRC-~'WPc Crl'Y OF ~AKERSFIELO OPFlC~ DP INVII~ONMENTAL SERVICES ICheet~' Av~.. ~kerllteld, CA ~3301 {~1) 0 ~. ~c~c. 0 ]. o~v~ ~1-] s. OAa-YvC.~,~Mo~roR~GO~'UMI~SYSTEM°~~31~'EGI~ITY TEST (0. SAFE SUCTX3N SYSTEMS (NO VALVF.3 C,d~vlTY Ft.O~. [] 3. CONT'a,a. X3~e O(&eF. NM~ PM ~ WiTH AUTO S,Ht.rr OFF FOR O~S~.N~.~ o AUOm~.E AJ~O V~JAL ~ [] 4. OAJLYVI~UALC3.1~C~ IX, OWNER/OPERATOR glO,NATURE 'CF (7/99) 471 Tm.E OF OW~ER/OPERATOK / 474 $:\CUPAFORM,~.~NRCI~8'VVP ~ _.~.~ CIT",( OF BAKERSFIELD '; , OFFI~[~ OF ENVIRONMENTAL 1715 Chestu~'Ave., Bakersfield, CA 93301 ~"~61) 326-3979 - O~. ovu~ I") I. 0 I. r~ Ve, SV~NO 0#. ~F su~Ul w&u. TAM( ] ,. V~IIX~IIDP0~NONLYI ¥, T)JIK CI.OIUIII INIlOIIMA TI~N I PIIIIL~INT CLOIUR! IN FLAIl 4~4 T~MC Fli. L~O WiTH ~ M~TE~MI.? Or" O~ :/: (7/99) S:'~CUPAFOHMStSWR~'~c Crl"'Y OF BAKEI~3F~ELD I~eelm' Av~.. ~eRer~/lel~. CA ~330~ (ee~) 32~!~ ,~,~rERt~.$^NO 0 2. STA~LES,I STEEL CO~ROSK3N ;)~rO'TECT~N VI. ~ LEA~ DETECTlC3N (Ched M M ~y) : ~J S. TEST (0.! S,~FE suCnON S'rSTE.,,~ (NO VALVe3 C, RAVrl'Y FLOW:. 4M i--I 2. ~OI~=E/~I~qPAN~8~ORe~ANOVtSUAL, ALARJd~ 1--1 3. ~e OiSPENM~ PAN IENSOR wr;14 AUTO ~'rUT OF/: FOR 0L~EN~.R * AUO~BL~ DC, CW~IEII~:)PERATOR SIGNATURE 'CF (7/~) 471 474 S:\CUPAFOR~CI~'B.WPD CITY OF B?KERS¥1ELD ~ . '_.~.~ OFFI~I~OF ENVIRONMENTAL S~V[CES 1715 Chester Ave., Bakersfield, CA 93301 ~61) 326-3979 mimglLEUM 1'Y1=~ Ow. or~.~ El 4. ~NI3L~W. ALL IIAVALILT Els.~ El~ um~y~m El a Fm'cc~e,A~m.awnm%urr,,~ Elm. O~,ER. ] ,. w.SU~.(IX~IIO~ONLY} I 4. ~'Arl~I'CAL NVINTORY RZ[COe~JUATIO#(~} * 81ENN~. I'At~ 111T~ FLOAT -- I"1 t. V~ALi~nOLaWAU.)NVAULTC~.Y) ["'l 3. ~nNUAL ~ON]TOR~NO V, T.M~ Ct,OIURB INfrORIIATION I PIRIO~I.~I' CLOIURI IN PLAC:~ Awl.. ~,lJ[edlfl~ld. CA t334}I (~1) 32~w~ IX, OWNER/OPERATOR :~IONATURE 47! 'CF (7/<~) S:~CUPAFOR.MS~WRC~'B'WPO · OFF! OF ENVIRONMENTAL S~ ICES 1715 Cheste~ Ave., Bakersfield, CA 93301 (561) 326-3979 · UNDERGROUND STOI~GE TANKII . TANK PAGE ! m ?A~K OO$1T~N~ [] s. ri ~ smoe.~e~ CI ~. o, so,ot n ~. ome~ r'~,fO~ rA~ I-1 ,. INII. Ew, Au. 0 4. $1NOI~WAU. BIAVA~.T 0 ~. F'm~ot~sst~ I'1 s. ~ 1'9 g~ ueea4ov~ 0 i. ~Ulee~u~lo 0 ~. m~otum~ 0 ~. ~um~o 0 ~, Ue$~tN 0 z ,,~v~u~m 0 ~. ~mou~ UN,NO l~m. U~Nm~ 0~. Om~ (For ~x~t ~M any) ~ O 4. s, ea~e. ss~o ~ O~e. or.rs 'Y~t~ ~'TALLED 4S0 TYPE fFor k>cal uM m'~] 4..q~ ~IU. P1~OTECTIONEQUIP~ENT':Y~.AJ~It~TAJ]~CO 447 necl~ tII O~t NN~Y) m ~1~1 WALL TAtlifCee~MS~ae~' ] ,. vcSu~ilXPOllOPOm~O~O+~.'~ ] 2. AUrOU~TY: ?AMi ~ (Ara) ] ). COUSin Ara [ ~. TrArlSTXIALS6~rof~R~:~ATION(~R) ~t~Mv~ rAM( rl,ITJe~] V. *rANK G,OJIJR~ INFORMATION I PIIIIU~INT G,OIUR[ IN PI..AC~ q4 TAM( FII.~0 ~ ~ MATEt~q.? :F (7/'99) ,.q:ICUPA,eORM,.q~C~'WP0 CfT"Y OF ~.KEFI.1FIELO ~, O~FlCl O~ ENVIRONMENTAL. W, ~ C(~IITNUCTXW (Ch~ M mt ~ ~:] ! SJNGL~ WALL ~ 9~, UNK,q~WN ~ 2. ooue4.E WAL~ l--I ~. 0TH~ MAMJFACTI, jRER PAN M)~OA wrn4 AUTO ~ OFF FOR OLi~N~.R o AUO~ ~ ~ ~ C] 4. DALYV~UAL C3~C~ IX. OWNERK:)F)ERATOR IIONATUR! 471 474 I Plm~ E.x~'14k~ ~ (~ ~~ 'CF (7/9~) S:\CUPAFOR~CB-B.WPD _.~.~ CITy OF BAKER3FIELD ' , OFFI OF ENVIRONMENTAL SI~VICES 1715 Chester Ave., Bakersfield, CA 93301 (~61) 326-3979 UNDERGROUND STORAGE TANKS- rANK PAGE ! rlTnl~tUM rn~o~ r)Je( 0 1. ENOLEWnU. .Lt. ANO YEAR I4~;TALL~D 450 TYl~ f~oe ~cM u~e oeVy) 4~,! OVE~FILL PROTECTION EOUIPMENT: Y~.AR ZN~TALLED 447 I"1 ~. V~Ja4, (~NO~,.a WALL tN VAULT ONLY) Lr'! 3. ~U~UAL MONn'0RiNG V. TWa. OIURI WFO~M~lg# I PIRIIU~I,~ ~t4)gR! g ~(~ TAM( F~.L~O WITH ~ MATE.q~L? :F (7/'99) B:\CUPA~ORM~NRC~'WPc :heltl~ Av~,. ~kerlllel¢l, CA t3301 (~) ~rER~ALSANO 1'~ 2. CORRO3/ON P~OTECT~N W. ~ LL4J( DETECTX3N E] 3. CON'T~I.K~S ~ PAN ~ WITH At~'O ~ OFF FOR ~.~/=ENSER o AUO~.E ANO ~ ~ (-1 4. DAJLYV~UA~ C~EC~ IX, OWNER/OPERATOR :SIGNATURE 42'1 'CF (7/99) $:\CU pAFOR.MS%~/VRC~'8.V~