The Fleet Vehicle Mobile Fueling Operation Information form is the City of Philadelphia Department of Licenses and Inspections (L&I) form for a new Fleet Vehicle Mobile Fueling License or a license amendment for dispensing Class II and III motor vehicle fuels. It is one of the Philadelphia business license materials L&I lists for automotive businesses. You can fill out the form online on FillingPDF and download or print the completed PDF. L&I publishes the original at the official URL, and the agency says applications are not mailed.
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What is L_052_F FORM - B?
The Fleet Vehicle Mobile Fueling Operation Information form is the City of Philadelphia Department of Licenses and Inspections (L&I) form for a new Fleet Vehicle Mobile Fueling License and for a license amendment application covering the dispensing of Class II and III motor vehicle fuels.
The two-page form, printed with the code L_052_F FORM - B, collects the details L&I reviews for a mobile fueling operation:
- Part A: the service provider's name, address, email, phone and Commercial Activity License (CAL) number, plus the property owner's contact details and signature.
- Part B: the mobile fueling site address and the name of every business serviced there.
- Part C: yes-box confirmations on fueling area locations, vehicle equipment and the required submission documents.
- Part D: the limits and conditions of operation, followed by the applicant's declaration and signature.
Part D ties the operation to the Philadelphia Fire Code, Chapters 50 & 57, and NFPA 385, and states that the Department may revoke, suspend or terminate a permit where the listed requirements are not met or unforeseen hazards arise.
L&I lists the form on its automotive business license materials page. That page also lists a separate Automobile business license application, which it describes as the application for licenses that include dispensing fuel. This form is the operation-information form for fleet vehicle mobile fueling, not that general application.
Who needs to file L_052_F FORM - B?
Mobile fueling companies (the "service provider" in Part A) that want a new Fleet Vehicle Mobile Fueling License complete this form. It is also the form for a License Amendment Application for the dispensing of Class II and III motor vehicle fuels.
Others involved:
- Property owner: Part A asks for the owner's contact details. The owner or the owner's representative must sign, because that signature authorizes the application. If the representative differs from the owner, the form asks for the representative's name.
- Applicant: the person named in the declaration at the end signs and dates it, certifying that the statements are true and correct.
- Service provider's CAL number: the form asks for the provider's Commercial Activity License number.
Part D allows dispensing of Class II or III motor vehicle fuel from tank vehicles at commercial, industrial, governmental or manufacturing establishments where permitted, and only at sites that have been issued a permit to conduct mobile fueling. The form gives no other category of user.
When to file L_052_F FORM - B
Complete this form when you apply for a new Fleet Vehicle Mobile Fueling License or submit a License Amendment Application for dispensing Class II and III motor vehicle fuels. The form prints no separate due date.
Timing matters operationally: Part D says mobile fueling may occur only at sites that have been issued a permit to conduct mobile fueling. The Safety & Emergency Response Plan and the scaled site plan must be ready to go with the application, because Part C asks you to confirm they are provided.
L&I states it may revoke, suspend or terminate a permit where the listed requirements are not followed or where unforeseen hazards arise. The agency page for automotive business licenses gives no processing time for this form.
Documents you need
- Safety & Emergency Response Plan, provided with the application. At minimum it must cover bonding and grounding the tank vehicle, proper use of portable extinguishers, recognizing and eliminating ignition sources, and handling a spill or leak.
- The same plan must also cover emergency 911 protocols in response to spills and leaks, and recognizing and understanding contingency plans for a spill or leak.
- Scaled site plan, provided with the application, showing all buildings, structures and appurtenances on site with their use, and all uses adjacent to the lot lines.
- The site plan must also show storm drain openings, mobile fueling areas, adjacent waterways or wetlands, slope, natural drainage, curbing, impounding, and how a spill is retained on the property.
- The site plan must include measurements demonstrating compliance with the minimum distances in Part C, Section (A).
- Additional sheets listing the businesses serviced, only if the space in Part B is not enough.
How to fill out L_052_F FORM - B
Enter the service provider information
In Part A, section (A), enter the mobile fueling company's name, address, email, phone number and Commercial Activity License (CAL) number.
Enter the property owner information
In Part A, section (B), enter the property owner's name, address, email and phone number. If the representative differs from the owner, add the owner's representative's name.
Get the owner's signature
Have the owner or owner's representative sign in Part A. The form says this signature is required to authorize the application.
Describe the site in Part B
Enter the mobile fueling site address, then the name of every business serviced by the mobile fueling operations. Use additional sheets if needed.
Confirm fueling area locations
In Part C, section (A), check Yes for each statement that is true, including the 15 ft and 25 ft minimum distances and the location restrictions.
Confirm vehicle equipment
In Part C, section (B), check Yes for the 100 ft maximum hose length, the 500-gallon fuel limit switch, the fire extinguisher (minimum rating 40-B-C) and the spill kit.
Confirm the submission requirements
In Part C, section (C), check Yes that the Safety & Emergency Response Plan and the scaled site plan are provided with the application.
Read the Part D limits and conditions
Part D lists the operating conditions you must follow, including the Philadelphia Fire Code and NFPA 385 requirements. No entry is needed there.
Complete the declaration
Enter the applicant name, sign it, and enter the date in the Date: ___ / ___ / _____ boxes.
Review and download the completed PDF
Check every part, then download or print the completed PDF from FillingPDF. Assemble the package with the plans and submit it through the channels described under How to submit.
How to submit L_052_F FORM - B
According to the L&I automotive business license materials page, you can apply for these licenses online or take your application to the Permit and License Center in the MSB Concourse. Do not mail applications.
- Online: apply through L&I's online license application. The page does not give a separate portal address for this form; start from the L&I automotive business license materials page.
- In person: bring the application to the Permit and License Center in the MSB Concourse.
Include everything Part C lists under Submission Requirements: the Safety & Emergency Response Plan and the scaled site plan. The owner or owner's representative must have signed Part A, and the applicant must have signed and dated the declaration.
The documents state no fee for this form. If you have questions about payment or the license, contact L&I through the agency page. FillingPDF lets you fill out and download the PDF; submission follows the L&I channels above.
Common mistakes to avoid
- Omitting the signature of the owner or owner's representative in Part A, which the form says is required to authorize the application.
- Leaving out the service provider's Commercial Activity License (CAL) number in Part A.
- Submitting without the Safety & Emergency Response Plan or the scaled site plan that Part C lists as submission requirements.
- Drawing a site plan without the measurements that show the minimum distances (15 ft and 25 ft) in Part C, Section (A).
- Listing a mobile fueling area in a public street, a public way, inside a building or on the roof level of a parking structure, which Part C does not allow.
- Using a storm drain cover where it would cause excessive water accumulation or difficulty fueling; the form says fueling then may not take place within 15 feet of a drain.
- Writing more businesses than fit in Part B without attaching additional sheets.
- Mailing the application; L&I says not to mail applications.
- Signing the declaration with statements that are not true; the form warns of possible revocation of licenses and other penalties.
Frequently asked questions
What is the Fleet Vehicle Mobile Fueling Operation Information form?
It is the City of Philadelphia L&I form completed for a new Fleet Vehicle Mobile Fueling License and for a license amendment application for dispensing Class II and III motor vehicle fuels. It records the provider, owner, site, safety confirmations and a signed declaration.
Where do I submit the mobile fueling operation information form?
Apply online or take the application to the Permit and License Center in the MSB Concourse. L&I says not to mail applications. Start from the L&I automotive business license materials page at https://www.phila.gov/documents/automotive-business-license-materials/.
What do I have to attach to this form?
Part C asks you to confirm that a Safety & Emergency Response Plan and a scaled site plan are provided with the application. The site plan must show buildings, storm drains, fueling areas, waterways and measurements proving the minimum distances.
Who has to sign the mobile fueling form?
The property owner or the owner's representative signs in Part A to authorize the application, and the applicant signs and dates the declaration at the end. The form has a separate line for a representative's name if different from the owner.
How far must the fueling area be from buildings and property lines?
Part C requires a minimum of 15 ft from buildings, property lines, combustible storage, and storm drains and wetlands or waterways. It requires a minimum of 25 ft from smoking, open flames and other ignition sources.
Is this the same as the Automobile business license application?
No. L&I lists them as separate documents. The Automobile business license application is described as covering licenses that include dispensing fuel, while this form is for fleet vehicle mobile fueling licenses and amendments for Class II and III fuels.
Can I fill out this form online on FillingPDF?
Yes. You can fill out the fillable PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit it to L&I; you submit it through the agency's channels.
What happens if I give false information on the form?
The declaration says that knowingly making a false statement can lead to possible revocation of any licenses as a result of the false application, and to other penalties prescribed by law or ordinance.
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