HomeMy WebLinkAboutSB-989 & Line Test Permit 4-21-2016APPLICATION
TO PERFORM ELD /LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(Please note that these are separate
individual tests and enroll be charged per
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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PERMIT #
ENH C- ,�US.C2FTEC�TIO�N ® LINE TESTING ® SB -989 SECONDARY CONTAINMENT
ANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
Pacific Coast Sightseeing & Charters
NAPE & PHONE # OF CONTACT PERSON
Karen Pfening (661) 325 -3400
ADDRESS
1800 Golden State Avenue
OWNER NAME
Haney Hana (714) 507 -3101
OPERATOR NAME
Haney Hana (714) 507 -3101
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services
NAME & PHONE # OF CONTACT PERSON
Mel Bolton (661) 631 -3870
MAILING ADDRESS
16250 Meacham Road Bakersfield 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Bryan Self at 661 - 333 -0075
CERTIFICATION #
DATE & TIME TEST TO BE CONDUCTED
4/21/16
ICC #
B37501
TEST METHOD
PLICAN SIGN URE
DATE
04/21/2016
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
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Per Kris' Request:
Permit Revision (04/21/16):
S13989, Product Line Test & Replace Diesel Leak Detector
Permit Check: $192.00
FD2095 (Rev 03/08)