HomeMy WebLinkAboutAST APPLICATION 8/20/2007~~' RightFax 1/3l./2Q07 8:40 PA(;E 00~/Q03 F~x S~;rv~~r
~ ~-~~ BAKERSFLELD FIRE DEPT,
ABOVEGROUND STORAGE TANKS Q~ ~~`~-~ prevention Services
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APPLICATION FORM E~ ~ D~ARfMB T
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~ L~~:ersfield, CA 933~1
Tel.: (661) 3•^_G-3979
FOR INSTALLATION / REMOVAL OF AN AST ;qj
_1 ~ Fz;;: (G61) 852-2171
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I~ INSTALL ~ REMOVE
PERMIT: # T~,'-'-' O (,~~
FACILITY
Wal-Mart Store #1574
ADDRESS
2300 White Lane ~
DPERATORS NAME ~ERfdIT TO OPEF,ATE Np.
OW IJERS NAME ~
Wal-Mart Non Real Estate Business Trust Pro erties
NUMBER OF TANKS TO BE IN3TALLED 3 ! REMOVEO 5 _ ~
TANK N0. CONTENTS ' VOLUME
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NAME OF COh1PANY INSTALLING 8 1 OR REMOVING TA4iCt5)
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MAILING ADDRHS6
NAME 6 PHONE NUMUER OF CONTACT PERSON
Laurie Dickard (479) 619-3815
DATE 8 TIME TAN TO BE INSTALLED OR REA10VEp
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SIGNATU I T DATE ~
August 20, 2007
APP D OATE
FU 2081 (Rrv. 09fQ5)
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