HomeMy WebLinkAboutFMC APP 10-2-18UNDERGROUND STORAGE TANKS
B e R S F i D
APPLICATION ..,.. ,_ . , ....xw,._.. FIRE
ARTM T
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 #
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 -326 -3979 • Fax: 661 - 852 -2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
❑
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TANK TIGHTNESS FUEL MONITORING CERTIFICATION i3C,'F�s'L �t(f p�r2 �y?-,ti,,� idvs( --� C71-4
SITE INFORMATION
FACILITY
Sprint Telecommunications
NAPE & PHONE # OF CON'T'ACT PERSON
ADDRESS
715 E. Sumner St.
OWNER NAME
Sprint Telecommunications
OPERATOR NAME
Sprint Telecommunications
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
550
Diesel
TANK TESTING COMPANY
TESTING COMPANY
Jauregui & Culver, Inc.
NAME & PHONE ## OF CONTACT PERSON
Bianca Gonzalez (760) 743 -0518
MAILING ADDRESS
959 W. Mission Ave.
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Peter Jaure ui III / 760 594 -4927
CERTIFICATION #
VR Technician B34641
DATE & TIME TEST TO BE CONDUCTED
Ocotber 1, 2018 @ 11 am
iCC #
8195227
TEST METHOD
CA State
APPLICANT SIGNATURE
ve "m
DATE
September 17, 2018
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 12/15)