HomeMy WebLinkAboutUST APPLICATION 12-2015UNDERGROUND STORAGE TANKS
PERMIT # &?
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
❑ LINE TESTING
XFUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 -326 -3979 • Fax: 661 - 852 -2171
Page 1 of 1
X SB -989 SECONDARY CONTAINMENT
SITE INFORMATION
FACILITY: Kern High School District
NAME & PHONE # OF CONTACT PERSON
Adrian: 661 - 827 -3199
ADDRESS
3701 East Belle Terrace, Bakersfield, CA.
OWNER NAME
Kern High School District
OPERATOR NAME
Adrian
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES X NO
TANK #
VOLUME
CONTENTS
1
12,000
Unleaded
2
12,000
Diesel
TANK TESTING COMPANY
TESTING COMPANY
Cal- Valley Equipment
NAME & PHONE # OF CONTACT PERSON
Jerry Rangel
MAILING ADDRESS
3500 Gilmore Avenue, Bakersfield, CA. 93308
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Jerry Range[
CERTIFICATION #
Veeder Root: B35460
DATE & TIME TEST TO BE CONDUCTED
11/10/15 @ 9:00 am
ICC #
8160834
TEST METHOD
Incon / Industry Standard
APPLICANT SIGNATURE
DATE
10/27/15
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/08)