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4001 WIBLE ROAD
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_ BAlCERSFIELn FIRE DEPAR'1'!JII'1'
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1715 Chester Ave.,
Bakersfield, CA 93301
(805) 326-3979
TANK RDOVAL INSPECTION FORM
FACILITY ~. f~L ADDRESS 4ClJI uhfak al
OWNER~rll r en. PERMIT TO OPERATE' t~ - OJ).rJ
CON'l'RAC'1'OR -S~:'~'" 1=~~~('t'1It\'( .:r:"'r ' CONTACT PERSON Bnt, _ &r--
LABORATORY Pe .h.ItL ~__' # OF SAMPLES .2.
TEST METHODOLOGY
. PRELIMANARY ASSESSMENT co.~f~ lEht't.. CONTACT PERSON lJtlftJ f).,."itr
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PLOT PLAN
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'B661 326 0576 BFD HAZ MAT D.i.'I "2' 'i1:J v,....
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CITY OF BAKE~IELD7d if ~L>lt.fef3{
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (805) 326-3979
05/10/00 11: 29
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PERMIT APPLICATION FOR
REMOVAL OF AN UNDERGROUND STORAGE TANK
SITE INFORMATION
SITE NW Corner W;hlp/wn;t:::~DDRESS 4001 Wible Rd. ZrPCODE93309 APN403-012-42
FACILITY NAME NA' CROSS STREET iY.b.i te L;me
TANK OWNER/OPERATOR Fran Mar Co. PHONE NO. 661-325-1567
MAIUNGADDRESS P.o. Box 9116 ClTY Bakeq;field, CA. ZIP 93389
CONTRACTOR INFORMATION
COMPANY Soils Engineering,
ADDRESS 4400 Yeager Way
INSURANCE CARRIER state Fund
Inc. PHONE NO. 661-831- 5100 LICENSE NO. 659286
_CITY Bakersfipln, r~ ZIP 93313
WORKMENS COMPNO.. .541-006
PRELIMINARY ASSESSMENT INFORMATION
COMPANY Soils Engineerinq, In.QPHONENO.831-5100 LJCENSENO, nSQ2Rn
ADDRESS 4400 Yeaqer Way CITY Ba)<ersfield, C'~ ZIP 93313
INSURANCE CARRIER state Fund WORKMENS CQMP NO. 541-006
TANK CLEANING INFORMATION
COMPANY Foss Bnuj,onmental PHONENQ. nn1-1?? A114
ADDRESS 1 n20~Brl1nn;:Jgp T,nnp CITY Bakerafieldr CA. ZIP 93307
WASTE TRANSPORTER roENTl,FICATIONNUMBER CAD 0826QQS62
NAME OF RINSATE DISPOSAL FACiliTY Crosby & Overton
ADDRESS 1630 W. 17th CITY Long p'p;:Jcl1, C'~ ZlP90813
FACILITY IDENTlrlCATTON NUMBER rAn02R40QQJ Q
TANK TRANSPORTER INFORMATION
COMPANY Si9rra Metals
ADDRESS 162Q E. Brundage Lane
TANK DESTlNATION Sierra RpC"ycl ing
PHONENO. 327-7073 LICENSE NO. 770603
CITY P.nkprsfipl n, C'~ zrp 93307
TANK INFORMATION
T ANI'. NO.
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AGE
30.
CHEMlCAL
VOLUME STORED
2500 to 3000~ Diesel
DATES
STORED
CHEMICAL
PREVlOUSL Y STORED
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For Offici:!.l lJ.'lC Onlv
APPUCA1.l0N DA,j: ...". ':. : ': ; ..Ji; :;.: :::::';;i~~~~qf,ti.)f.~~~i~~!:::i:.~i:':;:::~::::~~~tii:~~:'::::j:~~?hF:~TA~~t~t:~::~ : . ..' ..~ ~ '::.F:~,I{tiS
TIll;. iWI'LlCt\NT lIAS RECEIVED. UNDERSTANDS, AND WILL ~()MPI.Y wrm THE ATrAClil.:1) CONDITIONS OF TIIIS
PERMIT AND ANY OTI IER STAI E, I.OCAL AND FEDERAL REGULATlONS,
TI liS FORM "^S BEEN COMPLETED tlNDERPf::NAI.TY OF PERJURY. AND TO TIm BEST OF MY KNOWLEDGE IS TrWE
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THISAPPLICATION BECOME A PERMIT WHEN APPROVED
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Old
0I0d Asphalt Pad Fane&-' I
4025 WI~osts I
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3400 Whhe Lane
4001 Wible
WHlJ~'LANE
PG& E SERVICE
CENTER
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Approx. Scale
SOILS ENGINEERING, INe.
4400 Yeager Way
Ba.kemaeld, CA 93313
(661) 831- 5100
DATE: 412001
PROJECf: 01-9600
NW CORNER OF wmLE ROAD & WHITE LANE
Bakersfid \ California
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CITY OF BAKERSFIELD
FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
1715 CHESTER AVENUE
BAKERSFIELD. CALIFORNIA 93301
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