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BAKERSFIELD FIRE DEPARTMENT
ABOVEGROUND STORAGE TANK
OPERATOR NAME
Prevention Services
PERNIT TO OPERATE f
FISH
1600 Truxtun Ave., Suite 401
APPLICATION FORM
AR
Bakersfield, CA 93301
INSTALLATIOWREMOVAL OF AN AST `.
Phone: 661- 326 -3979 . Fax. 661- 852 -2171
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FACILITY NAM!
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OPERATOR NAME
PERNIT TO OPERATE f
OWNER NAME
B OF TANKS TO BE INSTALLED / REMOVED
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NAME B MNE s OF fTNTACT PERSON
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DATE B TINE TANK
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