Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
UST-APPL 6/2/2015
UNDERGROUND STORAGE TANKS X-1 �ft BAKERSFIELD FIRE DEPARTMENT Prevention Services APPLICATION Bakersfield, CA 93301 TO PERFORM ELD/LINE TESTING/ ST Phone: 661-326-39 79 •Fax: 661-852-2171 SB989 SECONDARY CONTAINMENT Page 1 of I TESTING/TANK TIGHTNESS TEST AND FUEL MONITORING CERTIFICATION (Please note that them are separate Individual tests and will be charged per separate type test accordingly.) PERMIT # ❑ ENHANCED LEAK DETECTION 1:1 LINE TESTING IN (jSB:-989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION FACILITY NAME & PHONE # OF CONTACT PERSON ADDRESS C • �ed .......... .. OWNER NAME ''Aam OPERATOR NAME PERMIT To OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS Pow l a9 X TESTING COMPANY 14AME & PHONE # OF CONTACT PERSON XR-0 m ��Nrrvk L- a -L MAILING ADDRESS L-k'Z _(:>c)\<.% c.:v. 0 NAME & PHONE _# OF T5S-UR-OR SPECiAL INSPECT CERTIFICATION # ©9 eso EST METHOD DATE $e TIME TEST 'fb'BE CO_ NDU T ICC # APPLICANT N )RE DIE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY j DATE FD2095 (Rev 03/08)