HomeMy WebLinkAboutUST APPL 10/22/2014UNDERGROUND 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 accordingly.)
PERMIT # fe-
W� Pi
B E R S 12 D
FAWN��. ter.
-.
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 . Fax: 661- 852 -2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS OR FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
Penske# CA -094
NAVIE & PHONE # OF CONTACT PERSON
Brian Yazemboski, 610 - 603 -8450
ADDRESS
2929 East Brundage, Bakersfield, CA, 93307
OWNER NAME
Penske
OPERATOR NAME
Brian Yazemboski
PERMIT TO OPERATE #
unknown
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? 11 YES 0 NO
TANK #
VOLUME
CONTENTS
1
11,594 gallons
Diesel fuel
2
11,594 gallons
Diesel fuel
TANK TESTING COMPANY
TESTING COMPANY
Tanknology
NAME & PHONE # OF CONTACT PERSON
Aaron W. Medina, 951 - 676 -4060
MAILING ADDRESS
41785 Enterprise Circle South Suite# D, Temecula, CA, 92590
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Edwin Pineda, 602 -316 -2772
CERTIFICATION #
lCC Service Technician
DATE & TIME TEST TO BE CONDUCTED
12/1/14, 9:00am
ICC #
8026748 -UT
TEST METHOD
APPLICANT 341VATURE
DATE
10/22/14
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/08)