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Home My WebLink AboutUST-APPL 11/11/2014UNDERGROUND 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 aCCording,ly.) PERMIT # --- ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS r M BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 • Fax: 661 -852 -2171 Page 1 of 1 ❑ LINE TESTING M SB -989 SECONDARY CONTAINMENT ® FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY Ramco Ex ress lRami NAME & PHONE # OF CONTACT PERSON (661) 324 -1758 ADDRESS 2222 F Street Bakersfield CA 93301 OWNER NAME Ramco Express OPERATOR NAME 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 Inc. NAME & PHONE # OF CONTACT PERSON Karli Karns (661) 631 -3870 MAILING ADDRESS 16250 Meacham Road Bakersfield CA 93314 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # 1337501 DATE & TIME TEST TO BE CONDUCTED 12 /15 14 at 9:00am ICC # 8022804 -UT TEST METHOD - APPLIANT SIGNATURE DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY r DATE 12,Z?-119 FD2095 (Rev 03/08) UNDERGROUND STORAGE TANKS FACILITY Ramco Express lRami NAME & PHONE # OF CONTACT PERSON (661) 324 -1758 f*AAPPLICATION OWNER NAME Ramco Express F «B PERMIT TO OPERATE # RTA/ TO PERFORM ELD /LINE TESTING/ TANK # SB989 SECONDARY CONTAINMENT CONTENTS 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 #�;__` ,c BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661- 326 -3979 e Fax: 661 -852 -2171 Page 1of1 ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING IM SB-989 SECONDARY CONTAINMENT TANK TIGHTNESS ® FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY Ramco Express lRami NAME & PHONE # OF CONTACT PERSON (661) 324 -1758 ADDRESS 2222 F Street Bakersfield CA 93301 OWNER NAME Ramco Express OPERATOR NAME 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 Inc. NAME & PHONE # OF CONTACT PERSON Karli Karns (661) 631 -3870 MAILING ADDRESS 16250 Meacham Road Bakersfield CA 93314 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Rryan Self (661) CERTIFICATION # B37501 DATE & TIME TEST TO BE CONDUCTED 12 15 14 at 9:00am ICC # 8022804 -UT TEST METHOD APPLICANT SIGNATURE DATE f' THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE 2, Z 7- FD2095 (Rev 03/08)