HomeMy WebLinkAboutUST APPLICATION #2 2018UNDERGROUND 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 #�
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
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❑ SB -989 SECONDARY CONTAINMENT
V OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Pacific Bell Telephone Co. dba AT &T California
NAME & PHONE # OF CONTACT PERSON
Allen Renuk (661) 327 -6903
ADDRESS
1918 M Street, Bakersfield, CA 93301 -4635
OWNER NAME
Pacific Bell Telephone Co. dba AT &T California
OPERATOR NAME
AT &T
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES NO
TANK #
VOLUME
CONTENTS
SA0040001
20,149 Gallons
Diesel
TANK TESTING COMPANY
TESTING COMPANY
Tait Environmental Services, Inc.
NAME & PHONE # OF CONTACT PERSON
Carlos Cardenas (714) 567 -6418
MAILING ADDRESS
701 N. Parkcenter Drive, Santa Ana, CA 92705
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Adolfo Aguilar
CERTIFICATION #
Incon TS -STS 173253702
TEST METHOD
RP -1200 7.1
ICC #
5238610
APPLICANT SIGNATURE
C /111
DATE
10/24/2018
--CMz4_
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)