HomeMy WebLinkAboutUST APPLICATION 12-9-2014UNDERGROUND STORAGE TANKS 1 � "'
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661 -852 -2171
Page 1of1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS ® FUEL MONITORING CERTIFICATION
SITE INFORMATION
B EBBFI D
APPLICATION
JFERX
TO PERFORM ELD /LINE TESTING /f,
OPERATOR NAME
Steve Boyd
SB989 SECONDARY CONTAINMENT
# OF TANKS TO BE TESTED:
TESTING/TANK TIGHTNESS TEST AND
TANK #
FUEL MONITORING CERTIFICATION
CONTENTS
(Please note that these are separate
9,800 Gallons
individual tests and -evlll be charged per
2
separate type test accordingly.)
87 Grade Gasoline
PERMIT #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661 -852 -2171
Page 1of1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS ® FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
7/11# 16329
NAME & PHONE # OF CONTACT PERSON
Steve Boyd 661 -549 -1711
ADDRESS
1701 Pacheco Road, Bakersfield, CA, 93307
OWNER NAME
Steve Boyd
OPERATOR NAME
Steve Boyd
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? 0 YES ® NO
TANK #
VOLUME
CONTENTS
1
9,800 Gallons
87 Grade Gasoline
2
9,800 Gallons
87 Grade Gasoline
3
9,800 Gallons
91 Grade Gasoline
TANK TESTING COMPANY
TESTING COMPANY
Tanknology
N'
NAME & PHONE # OF CONTACT PERSON'
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
11/25/14, 9:00am
Icc #
8026748 -UT
TEST METHOD
APPLICANT SISd1ti1A
DATE
10/15/14
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
'0�51� '0 00,
DATE
FD2095 (Rev 03/08)