HomeMy WebLinkAbout130 BERNARD Street (2)%: IUD b/ 13 /ZO08,, 4:42:37 PM PAGE 3/005 Fax Server
R, BAKERSFIELD FIRE DEPARTMENT
ABOVEGROUND STORAGE TANK �. Prevention Services
e " , D 1501 Truxtun Ave 1sT FLR
APPLICATION FORM D� IRM f Bakersfield, CA 93301
INSTALLATION /REMOVAL OF AN AST {° � � Phone: 661 -326 -3979 . Fax: 661 - 852 -2171
0 INSTALL [:] REMOVE
PERMIT # CE( — 0574(;]
Page 1 of 2
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PERMIT TO OPERATES ,.
FACILITY NAME
ADDRESS
130 Bernard S. Bakersfield, CA
OPERATOR NAME
Fire Station 06
PERMIT TO OPERATES ,.
OWNER NAME
City of Bakersfield
# OF TANKS TO BE INSTALLED 1 /REMOVED'
TANK # CONTENTS VOLUME
Fire Station 06 Diesel 309 gallons
NAME OF COMPANY INSTALLING AND /OR REMOVING TANK
Contra Costa Electric
MAILING ADDRESS
3208 Lanco Dr. Bakersfield, CA 93308
NAME & PHONE # OF CONTACT PERSON
Doug Adams (661) 322 -4036
DATE & TIM TANK IS TO BE INSTALLED /REMOVED
Dec mber 2008
SIGNATU F APP CANT
DATE
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FDZ081 (Rev 01 /08)