HomeMy WebLinkAboutAST-STOCKDALE & 99 Hwy (2)BAKERSFIELD FIRE DEPARTMENT
ABOVEGROUND STORAGE TANK A, Prevention Services
r0:1AF)TffN1 1501 Truxtun Ave 1sT FLR
APPLICATION FORM r Bakersfield, CA 93301
INSTALLATION /REMOVAL OF AN AST
Phone: 661 - 326 -3979 ? Fax: 661 - 852 -2171
Page 1 of 2
® INSTALL a REMOVE
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FACILITY NAME VERI ZON WIRELESS (STOCKDALE )
ADDRESS STOCKDALE HWY AND HWY 99 STOCKDALE, ACA 93312
OPERATOR NAME
VERIZON WIRELESS
PERMIT TO OPERATE
OWNERNAME BERRENDA MESA WATER DIST. 2100 'F' STREET # 100 BAKERSFIELD, CA 93301
OF TANKS TO BE INSTALLED / REMOVED
..• . •TANK # ' .CONTENTS •:. ' :.: .: :4..VOLUME . ": ::.:; •: .
1 DIESEL FUEL ULTRA LOW SULFUR 150 GAL
NAME OF COMPANY INSTALLING AND /OR REMOVING TANK NRC ENVIRONMENTAL
MAILIN6ADDRESS 1605 FERRY PT ALAMEDA, CA 94501
NAME & PHONE * OF CONTACT PERSON ROBERT IRELAND 510 - 3 8 5 - 3 2 5 3
DATE & TIME TANK IS TO BE INSTALLED /REMOVED APPROX FEBRUARY 2009
SIGNATURE -0
/ I
DATE
APPROVE BY
DATE
A S-r
FD2081 (Rev 01/08)
ns
KILLING & PERMIT STATEMENT
PERMIT # PINE 4
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1501 Truxtun Avenue, 1s` FLR
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661 -852 -2171
SITE INFORMATION
LOCATION OF PROJECT LL
PROPPTv OWNER
STARTING DATE cOMPLEnoN DATE
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NAME
PROJECT NAME
S T G ' /< ,:).¢ -c-.cZ : reef A-A: % s0
ADDRESS
PHONE 3
PROJECT ADDRESS
CITYgAl.,_FZSf:1El.D STATE CA
ZIP CODE
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CONTRACTOR NAME . C:141 X4 6 4 5 p•i CA LICENSE s
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•• •
TYPE OF LICENSE EXPIRATION DATE
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PHONE
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CONTRACTOR COMPANY NAME
FAX
ADDRESS
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ZIP CODE
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All permits must be reviewed, stamped, and approved PRIOR TO BEGINNING WORK.
❑ Alarm - New & Modification (minimum charge) $280 •
•
•
❑
Over 10,000 sq ft
$0 .028 x sq ft
❑
Sprinkler - New & Modification (minimum charge)
$280
❑
Over 10,000 sq ft
$0 .028 x sq It
❑
Minor Sprinkler Modification ( <10 heads)
$96 (inspection only)
84
❑
Commercial Hood (New & Modification)
$470
❑
Additional hood
$58
❑
Spray Booth (New & Modification)
$470
98
,8(
boveground Storage Tank (1 inspection per installation) AST
$180 /tank
1150
82
❑
Additional Tank ATI
$96 /tank
82
Aboveground Storage Tank (RemovaVInspection) ATR
$109 /tank
82
•
Underground Storage Tank (Installation /Inspection). NI
$878 /tank
82
•
Underground Storage Tank (Modification) MOD
$878 /site
82
•
Underground Storage Tank (Minor Modification) MTM
$167 /site
82
D
Underground Storage Tank (Removal) TR
$573 /tank
84
•
Mandated Leak Detection (test) /Fuel Mont Cert/SB989
NOTE:' $96 /hr for each type of test/per site even if
heduled at the same time TT
$96 /hr (2 hrs minimum) =$192
84
•
Oil well (Installation, Inspection, or re- inspection) X
$96 /hr
82
•
Tent *
$96 /tent
84
❑
After -hours inspection fee
$121 /hr (2 hrs minim6m) =$242
•
Pyrotechnic (1 permit per event, plus an inspection fee of
$96 /hr during business hours) Py
NOTE: After hours Pyrotechnic event inspection is @ $121/hr
$96 /hr + (5 hrs min standby fee/insp)= $576
5 hrs min standby fee ins = 605
84
•
Re- inspection /Follow -up Inspection
$96 /hr
84
•
Portable LPG (Propane): * of Cages? _
$96/hr
84
❑
Explosive Storage
$266
84
❑
Copying & File Research (File Research fee $50 /hr)
$0.25 /page
84
❑
Miscellaneous
84
City of Bakerjfiebf`
CUSTOMER REr21PT
Oper. TVANFOSSEN Type: NA Drawer: I
Date. - ' 1/281119 04 Receipt no., 77472.
Descript ioh ON a" t"t4 Amount
82 FR STORAGE q W PERMIT
ATI 051
Tender detail:
CK-MCK - -. .41493,'
$180.00
Total tendered.'.
$189.00
Total paymint
1180.00.
Trans date:. Time:
11:05:48
HAPPY VALENTINES-DAY
TIE CITY-TREAEURERIS OFFICE.IS MOVING AS
OF MONDAY. FEBRUARY 03RD.'M 1S00 TRIJX*i%'N