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UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD/LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(please note thatt-hese are separate
al
individu tests and will be charge cl per
separate type test accordingly.)
PERMIT#
ENHANCED LEAK DETECTION
TANK TIGHTNESS
LINE TESTING �4 SB-989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
C�
MAILING AD Q RE
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR l CERTIFICATION
7Z T
DATE &- TIME TEST%T�P-DE &=TNDUCTED Icc 41 METHQD
APPLICANT SIGNATURE PATE ko
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
FD2095 (Rev 03/08)
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
-k F
2101 H Street
FINN
Bakersfield, CA 93301
R rX
Phone: 661-326-3979 ® Fax: 661-852-2171
Page I of I
LINE TESTING �4 SB-989 SECONDARY CONTAINMENT
FUEL MONITORING CERTIFICATION
C�
MAILING AD Q RE
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR l CERTIFICATION
7Z T
DATE &- TIME TEST%T�P-DE &=TNDUCTED Icc 41 METHQD
APPLICANT SIGNATURE PATE ko
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE
FD2095 (Rev 03/08)
BILLING & PERMIT STATEMENT
.R
pigs 21111'e�Pll
PERMIT
A
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
E3akersfield, CA 93301
Ph_on_e!_ - 326 -3979 * Fa
AT CT
LO ATIO OF P 03
PROPERTY OWNER
VA
T M EnON DATE
STARTING De*�- —P,!7 NAME F
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PROJECT NAME ADDRESS PHONE #
ZIP CODE
Re-EE CITY STATE (2,A
CONTRAC-MR NAME CA LICENSE # FNSi T PH _Q
IkO F o
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OMPM� Y M, FAX #
TRAC:T6 M PNY NA
7 ZIP cc
CIT�'
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Please make checks payable to CITY OF BAKERSFIELD. NO g;ASH Rleas�. Thank you.
U. ......
I
Alarm - New & Modification (minimum charge) $280
Over 10,000 5q ft
$0 .02.8 x sq ft
0
171
Sprinkler - New & modification (minimurn charge)
80
0
Over 10,000 sq ft
Sprinkler - Minor Modification (<10 heads)
$0 .028 x sq ft
$ 96 (inspection only)
84
11
Commercial Hood (New & Ul- 300 Upgrade Modification)
Additional Hood
64
Commercial Hood - Minor Modification (add/move nozzi le)
$ 96 (inspectiQn only)
0
Spray Booth (New & Modification)
)
Aboveground Storage Tank 11- inspection. p�r installatipri) AqT
$2235
$180 /tank
82
-
------- -
01.
Additional Tank '
Aboveground Storage tank Reni oval, Mod,or Inspect n) ATE.
$ 96/tank
$109/tank
82
82
11
Underground Storage Tank (Installation/Inspection)
$878 tank
82
El
Underground Storage Tank (Modification) VIOD
$878/site
82
821
0
Underground 'S'torage Tank (Minor Modification) MV4
Storage Tank (Removall TR
$1671site
$57R/tank
84
0
Underground
Mandated UST Testing: Fuel Mont Cert/55989/Cath. Prot.
$ 96/hr (2 hrs minimum) $192
i 82
TF$96/hr for each type of test/per sitel"per UST!5ystem
even if scheduled at the Same 1;Jrne
(Installation, Inspection, or re-inspection)
82
0
C1
Tent
I After-hours inspection fee
96/tent
i $121/hr (2 firs rn-inim. um) $242
84
i 0
1 Pyrotechnic (1 permit per event, plus an inspection fee of
$ 96/hr + (5 hm, min standby fee/insp) $576
84
/hr during business hours) Py
�,$9,6/hr dun
0 f�
A z6rhours Pyrotechric event inspection is( $12,1/hr'
Lc
(5hrs rain standb,fee__�a=c
jin $605
C3
Re-inspection/FollmAi-up Inspection
$ 96/hr
84
84
❑
Portable LPG (Propane): # of Cages?
$ 96/hr
0
Explosive Storage
$235
84
Cl
I Copying & File Research (File Research fee $57/hr)
Miscellaneou s
$0,215/page,
84
1 84
F_
01