HomeMy WebLinkAboutBUSINESS PLAN (2)
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TIlE APPUCANT HAS RECEIVED, uNDÉRSTANDS. ÁNIj WILL CÖMPL Y wrrn TIlE A TIACHED CONDrnONS Of' '
i TInS PERMIT MID ANY OTIlER St~TE" LqcAtJ ANb FÉDERAL REGULATIONS. .
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APPROVED BY; ..:. . :. 'AP~LfCrrrr N^tvΠ(PRINT) APPLICANT SIGNATIJRE
THIS APPLICATION BlCdMES A PERMIT WHEN APPROVED
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¡ '. ' Permit No. f'f\ L \'Y\ - Q 37 ß
CITY OF BAKERSFIELD
OFFICE OF!ENvIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
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PERMIT ÁPPLlCA TION TO CONSTRUCT/MODIFY UNDERGROUND STORAGE TANK
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TYPE OF APPLICATION (CHECK)
( )NEW FACILITY . ( ]MODIFICA nON OF FACILITY [ ]NEW TANK INSTALLATION AT EXISTING FACILITY
STARTlNO DATE q ~~ê PROPOSED COMPLETION DATE It:! 111<>1
F AClLtrv NAME /(.r. 7. '",", . -;;::;- - SCHafsEXISTING FACILITY PERMIT NO. · f
FACILrrVADDRESS ~___.{_____¿le· CITY /3PL- ZlPCODE CJ32x::J7
tYPE ÖF BUSINESS ServicE tJe¡t'Îep APN N
TANK OWNER c;4øe.. PHONE NO.th¡, i:S?, - 4&57 S
ADDRESS 8/un e.. CITY g,;::.G-. ZIP CODE q? 56"7
CONTRACTOR CA l - \J~..I... t F '1 2:~. CA LICENSE NO. ..., 2 4 , loA HA Z.
ADDRESS :'~dT ~c\tl'~~.Åt~· CITY Bf!L· ZlPCODE ~ 1."2,{)~
PHONE NO. "" 1_ '3 ~,_... . 4 BAKERSFIELD CITY BUSINESS LICENSE NO. 0 4 ;; 40 ~~
WORKMANCOMPNO.-lt2ï.4-~~ - 0"3 . INSUR.ER 5rAI-'<". C.on,,,,
, , BRlEFLVDESCRIBETIlEWoAATÖBEOONE IJ./$T4,-,- G'.i/,R. on 9090(IItP 7éulk' .
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: WATER TOFACll..ITY PROVIDEI> BV :
bEPTItTOGROmmWATER : ~ .. soIt TYPE EXPECTED AT SITE
: No. OF TANKS to BE INSTALLED " ARE 'I1IEv FOR MOTOR FUEL "
, SPR.L PREVENTION CONIROL AND CO R MEAStJRES PI...AN ON FILE
SECTION FÖa MOTOR FUEL
YES
YES
¡TANKNO.
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VOLUME
12/0¡:;O
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UNLEADED
DIESEL
AVIATION
REGULAR
PREMIUM
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SECTION FOR NON MUTOR FUEL STORAGE TANKS
TANK NO.
CHEMICAL STORED
(NO BRAND NAME)
VOLUME
CAS NO. CHEMICAL PREVIOUSL V STORED
(IF KNOWN)
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NO
NO
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6613252529
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