HomeMy WebLinkAboutUST APPUNDERGROUND STORAGE TANKS
APPLICATION
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TO PERFORM ELD /LINE TESTING /
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SB989 SECONDARY CONTAINMENT
TESTINGITANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
FUEL MONITORING CER—TT-F-iZ
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
Q 10 t k-k S- my -'--7
Bakerstield, CA 93301
Phone: 661 -326 -3979 • Fax: 661 - 852 -2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT
E INFORMATION
FACILITY .%o �s®_ r i NAME & PHONE : OF CONTACT PERSON
ADDRESS
OWNER NAME
OPERATOR NAME
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK * VOLUME CONTENTS
'f/ �R -,/ D I Ls I I IL-f
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY DATE /
FD2095 (Rev 03/08)