HomeMy WebLinkAboutFMC APP 2018UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. I
Page 1 of 1
Z ENHANCED LEAK DETECTION Z LINE TESTING Z SB-989 SECONDARY CONTAINMENT TESTING
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A
S F I I D
BAKERSFIELD FIRE DEPT.
B A&Z R
Prevention Services
FIRE
ARTMA r
F)
900 Truxtun Ave., Ste. 210
,
Awo�
Bakersfield, CA 93301
Tel.: (661) 326-3979
NUMBER OF TANKS TO BE TESTED
Fax: (661) 852-2171
Page 1 of 1
Z ENHANCED LEAK DETECTION Z LINE TESTING Z SB-989 SECONDARY CONTAINMENT TESTING
'El) 1 NNN 1 KOM 1 IN r-C-0 I co I 'e-)
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FACILITY
Pacific Bell Telephone Co.
NAME & PHONE NUMBER OF CONTACT PERSON
1
dba AT&T California Allen Ren enuk (661) 327-6903
ADDRESS
1918 M Street, Bakersfield, CA 93301-4635
OWNERS NAME
Bell Telephone Co. dba AT&T California
—Pacific
OPERATORS NAME
PERMIT TO OPERATE NO.
AT&T
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? A YES es NO
TANK#
VOLUME CONTENTS
SA098UO01
6,016 Gallons
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY
Tait Environmental
7_NAME & PHONE NUMBER OF CONTACT PERSON
r�
Services, INC. Carlos os S C Cardenas (714) 567-6418
MAILING ADDRESS
701 N. Parkcenter
Dr., Santa Ana, CA 92705
NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #:
Incon TS-STS 173253702
Adolfo Aguilar
DATE & TIME TEST TO BE CONDUCTED
ICC #: TTEST METHOD
10/5/2018 @ 9:00am
5238610
SIGNATURE OF APPLICANT
DATE 9/5/2018
_C44Z4_ 45
THIS, APPLICATION BECOMl..E- S, A PERMIT WHEN APPROVED
ADDQr)\1r=_) PY
I DATE
FD 2095 (Rev. 09/05)