HomeMy WebLinkAboutAST-SWC COLUMBUS & HALEY StreetABOVEGROUND STORAGE TANK
APPLICATION FORM AAWsr
INSTALLATION /REMOVAL OF AN AST t k
ItA 19.1
INSTALL a REMOVE
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
1600 Truxtun Ave., Suite 401
Bakersfield, CA,93301
Phone: 661-326-3979 • Fax: 661-851-217l..
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OPERATOR NAME C
PERMIT TO OPERATE I
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NAME OF COMPANY INSTALLING AND /OR REMOVING TANK
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DATE A TIME TANK -IS TO-BE INSTALLED I40VID
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F.D2081 (Rev 06/07)