HomeMy WebLinkAboutUNDERGROUND TANK
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Bakersfield Fire Dept.
Environmental Service
900 Truxtun Ave.. Ste. 210
Bakersfield. CA 93301
Tel: (661)326-3979
Fax: (661} 852-2171
PERMIT APPLICATION TO
CONSTRUCT I MODIFY I MINOR
MODIFICATION OF AN UST
PERMIT NO, I ~1J11-ð Ij BR I
TYPE OF APPLICATION: (Check one item only)
o NEW FACILITY
~MODIFICATION OF FACILITY
Page 1 of 1
o NEW TANK INSTALLATION AT EXISTING FACILITY
MINOR MODIFICATION OF FACILITY
fSTARTING DATE
ACILlTY NAME
ITY
SOIL TYPE EXPECTED AT SITE
/t1LJlJy
NO.
SPILL ~~VENTION CONTROL AND COUNTER MEASURES PLAN ON FILE
~YES 0 NO
THIS SECTION IS FOR MOTOR FUEL
TANK NO. OLUME
l
NLEADED
EGULAR
iREMIUM
IESEL
VIATION
THIS SECTION IS FOR NON MOTOR FUEL STORAGE TANKS
VOLUME ~NLEADED REGULAR ----~- DIESEL !AVIATION
TANK NO. REMIUM
FOR OFFICIAL USE ONLY
APPLICATION DATE
FACILITY NO.
NO. OF TANKS
FEES $
The applicalll has received. ullderslands, and will comply with Ihe aI/ached {'()/ldiliOlls of llie perll/il alld allY OIlier Slale, local alld federal
regulalioll.!·. This orl/l has beell compleled ullder pellally of 'jury, alld 10 Ihe besl of I/IY knowledge. is Irue alld com'('/.
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THIS APPLICATION BECOMES A PERMIT WHEN APPROVED ~.>
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