HomeMy WebLinkAbout UST APP 10-15-14UNDERGROUND STORAGE TANKS
FACT
7/11 #��,�{
NAME & PHONE # OF CONTACT PERSON
Steve Boyd 661 -549 -1711
E R S P I D
APPLICATION
OPERATOR NAME
Steve Boyd
TO PERFORM ELD /LINE TESTING /r,
:.
SB989 SECONDARY CONTAINMENT}4
TANK #
TESTING/TANK TIGHTNESS TEST AND
CONTENTS
FUEL MONITORING CERTIFICATION
14,401 Gallons
(Please note that these are separate
2
individual tests and will be charged per
91 Grade Gasoline
separate type test accordingly.)
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BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 . Fax: 661- 852 -2171
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❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS IR FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACT
7/11 #��,�{
NAME & PHONE # OF CONTACT PERSON
Steve Boyd 661 -549 -1711
ADDRESS
4101 Calloway Drive, Bakersfield, CA, 93312
OWNER NAME
Steve Boyd
OPERATOR NAME
Steve Boyd
PERMBIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
14,401 Gallons
87 Grade Gasoline
2
9,895 Gallons
91 Grade Gasoline
TANK TESTING COMPANY
TESTING COMPANY NAME & PHONE # OF CONTACT PERSON
Tanknology Aaron W. Medina, 951 - 676 -4060
MAILING ADDRESS
41785 Enterprise Circle South Suite# D, Temecula, CA, 92590
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Edwin Pineda, 602- 316 -2772
CERTIFICATION #
ICC Service Technician
DATE & TIME TEST TO BE CONDUCTED
12/3114, 9:00am
zCC #
8026748 -UT
TEST METHOD
APPLICANT SIGNATURE
DATE
10/15/14
THUS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
C
FD2095 (Rev 03/08)