HomeMy WebLinkAboutUST-APPL 6/12/2015UNDERGROUND 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
SB -989 SECONDARY CONTAINMENT
SITE INFORMATION
FACILITY: Kern County Superintendent of Schools
NAME & PHONE # OF CONTACT PERSON
Scott Bohannon
ADDRESS
705 S. Union Avenue, Bakersfield, CA.
OWNER NAME
Kern County Superintendent of Schools
OPERATOR NAME
Scott Bohannon
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES X NO
TANK #
VOLUME
CONTENTS
1
12,000
Diesel
2
12,000
Unleaded
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: B35460
DATE & TIME TEST TO BE CONDUCTED
06/16/15 @ 9:00
ICC #
8160834
TEST METHOD
APPLICANT SIGNATURE
i
DATE
06/12/15
THIS APPLICAT --BECOMES A PERMIT WHEN APPROVED
APPROVED BY
' s
DATE
Cn %2g/1.5r
FD2095 (Rev 03/08)