HomeMy WebLinkAboutUST-APPL 10/28/2015UNDERGROUND STORAGE TANKS
FIR&
,�Rrr r
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page I of 1
A�' ENHANCED LEAK DETECTION Z LINE TESTING A�' SB-989 SECONDARY CONTAINMENT TESTING
- - - - _.-.. -.. -__ - -- V/ - W A M 1r1 M Ae-'Ikl Me-IMMIt- t-(=r>T 11=1r% AT InNI
SITE INFORMATION
FACILITY
Pacific Bell Telephone Co.
dba AT&T California
NAME & PHONE NUMBER OF CONTACT PERSON
Grant Armstrong (6 61) 327-6903
ADDRESS
3221 South H Street
OWNERS NAME
Bell Telephone Co. dba AT&T California
-Pacific
OPERATORS NAME
AT&T
I
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? es YES gX NO
TANK #
VOLUME
CONTENTS
SA098UO01
6,016 Gallons.
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY
Tait Environmental
Services, INC. ]
N AME & PHONE NUMBER OF CONTACT PERSON
Carlos Cardenas (714) 567-6418
MAILING ADDRESS
2131 South Dupont
Drive, Anaheim CA 92806
NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR
Adolfo Aguilar
CERTIFICATION #:
Incon TS-STS 173253702
DATE & TIME TEST TO BE CONDUCTED
11/26Z2014 @ 9:00am
[CC #:
5238610
EST METHOD
SIGNATURE OF APPLICANT
)ATE 10/28/2014
THIS APPS. I CATt0N j BECOMES A PERMrT WHEN! APPROVED
APPROVED BY