HomeMy WebLinkAboutSB989 APP 2-28-18UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
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BAKERSFIELD FIRE DEPT.
Prevention Services
900 Truxtun Ave., Ste. 210
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of I
,e ENHANCED LEAK DETECTION e5 LINE TESTING )25 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
Suzanne Okamura (559) 433-5150
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? e5 YES z NO
TANK#
VOLUME
CONTENTS
SA004UO01
20,149 Gallons
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY
Tait Environmental Services, INC. �Carlos
NAME & PHONE NUMBER OF CONTACT PERSON
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
2/28/2018 @ 10:00am
ICC #:
5238610
TEST METHOD
SIGNATURE OF APPLICANT DATE 6 /9/2 018
_ ,
THIS APPLIC ION-11-11 R .GO ES A PE, .RM tT W HF--'.N1 APPRION VE-01;
APPROVED BY DATE