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Home My WebLink AboutUST-APP 4/20/2015UNDERGROUND STORAGE TANJ APPLICATION TO PERFORM ELD/LINE TESTING/ SS989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that L these are separate � individual tests and will be charged per separate type test accordingly.) PERMIT 1/5-- eNHANCED LEAK DETECTIQN TANK TIGHTNESS PIN& kytff, r Al A iYI W Y AIDE FIELD FIRE DEPARTMENT Prevention Services 21.01. H Street Bakersfield, CA 93301 Phone: 661-326-3979 e Fax: 661-852-2171 Page 1 of I LINE TESTING S8 -989 SECONDARY CONTAINMENT FUEL MONrt-ORING CEF,T1FIrATI0N FD2095 (Rev 03/08) UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (please note thatt-hese are separate al individu tests and will be charge cl per separate type test accordingly.) PERMIT# ENHANCED LEAK DETECTION TANK TIGHTNESS LINE TESTING �4 SB-989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION C� MAILING AD Q RE NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR l CERTIFICATION 7Z T DATE &- TIME TEST%T�P-DE &=TNDUCTED Icc 41 METHQD APPLICANT SIGNATURE PATE ko THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08) BAKERSFIELD FIRE DEPARTMENT Prevention Services -k F 2101 H Street FINN Bakersfield, CA 93301 R rX Phone: 661-326-3979 ® Fax: 661-852-2171 Page I of I LINE TESTING �4 SB-989 SECONDARY CONTAINMENT FUEL MONITORING CERTIFICATION C� MAILING AD Q RE NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR l CERTIFICATION 7Z T DATE &- TIME TEST%T�P-DE &=TNDUCTED Icc 41 METHQD APPLICANT SIGNATURE PATE ko THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/08)