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Home My WebLink AboutUST-APPL 1/13/2015UNDERGROUND 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 well be charged per separate type test accordingly.) PERMIT # BAKERSFIELD FIRE DEPARTMENT Prevention Services VAR'jrrjl'rff Bakersfield, CA 93301 T Phone: 661 - 326 -3979 • Fax: 661- 852 -2171 Page 1 of 1 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 that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # .,� ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS x FI D AWN ,�IRrf,A' T' BAKERSFIELD FIRE DEPARTMENT Prevention Services Q10.L Ft Bakersfield; CA 93301 Phone: 661- 326 -3979 • Fax: 661 -852 -2171 Page 1 of 1 ❑ LINE TESTING SB -989 SECONDARY CONTAINMENT ❑ FUEL MONITORING CERTIFICATION FACILITY NAME & PHONE # OF CONTACT PERSON I ADDRESS 0�!)W KZ �XQ 2, OWNER NAME OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? 0 YES 0 NO TANK # VOLUME CONTENTS 3 FD2095 (Rev 03/08)