HomeMy WebLinkAboutAST~.-
ABOVEGROUND STORAGE TANKS
APPLICATION FORM
FOR INSTALLATION /REMOVAL OF AN AST
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BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
~ INSTALL O REMOVE
PERMIT: # PAS- ~
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FACILITY
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ADDRESS
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OPERATO S NAME PERMIT TO OPERATE N0.
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OWNERS NAME
NUMBER OF TANKS TO BE INSTALLED /REMOVED
TANK- N.O`. CONTENTS VOLUME
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NAME OF COMPANY INSTALLING 8 / OR REMOVING TANK(S) '
MAILING ADDRESS r
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NAME 8 FrI10NE NUMBER OF CONTACT PERSON
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DATE & TIME ANK IS TO E INSTALLED`~R REMOVED ..-
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SIGNAT RE OF APPLICANT DATE
APPROVED DATE
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