HomeMy WebLinkAboutUST APP 2018UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301 Tel.:
(661) 326 -3979 Fax: (661)
852 -2171
Page 1 of 1
PERMIT NO.
GS ENHANCED LEAK DETECTION LINE TESTING A�5 SB -989 SECONDARY CONTAINMENT TESTING
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SITE INFORMATION
FACILITY
Pacific Bell Telephone Co.
dba AT &T California
NAME & PHONE NUMBER OF CONTACT PERSON
Allen Renuk (661) 327 -6903
ADDRESS
1918 M Street, Bakersfield, CA 93301 -4635
OWNERS NAME
Pacific Bell Telephone Co. dba AT &T California
OPERATORS NAME
AT &T
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? es YES Z NO
TANK#
VOLUME
CONTENTS
SA004UO01
20,149 Gallons
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY
Tait Environmental
Services, INC.
NAME & PHONE NUMBER OF CONTACT PERSON
Carlos Cardenas (714) 567 -6418
MAILING ADDRESS
701 N. Parkcenter
Dr., Santa Ana, CA 92705
NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR
Adolfo Aguilar
CERTIFICATION #:
Incon TS -STS 173253702
DATE & TIME TEST TO BE CONDUCTED
10/4/2018 @ 9:00am
ICC #:
5238610
TEST METHOD
SIGNATURE OF APPLICANT.i
THIS APPLIiCATIQN
DATE 9/5/2018
BECOIIIIES A. PP.R.MUT WHEN1 APP -QiVED
APPROVED BY
DATE
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