HomeMy WebLinkAboutPermit App 6-17-16UNDERGROUND STORAGE TANKS
APPLICATION
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 will be charged per
separate type test accordingly.)
PERMIT # I ' t "'100oo.
p
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS X FUEL 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
SB -989 SECONDARY CONTAINMENT
SITE INFORMATION
FACILITY: Fed Ex Freight
NAME & PHONE # OF CONTACT PERSON
Jeff 661 - 837 -0997
ADDRESS
6100 District Blvd.
OWNER NAME
Fed Ex
OPERATOR NAME
Jeff Fleming
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES X NO
TANK #
VOLUME
CONTENTS
1
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 Rangel
CERTIFICATION #
Veeder Root: 835460
DATE & TIME TEST TO BE CONDUCTED
06/17/16 @ 9:00 am
ICC #
8160834
TEST METHOD
Industry Standard
APPLICANT SIGN URE
DATE g
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THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/08)