HomeMy WebLinkAboutFMC APP 9.10.18UNDERGROUND STORAGE TANKS
PERMIT #
igokp.
B V D
T
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
❑ TANK TIGHTNESS 8 FUEL MONITORING CERTIFICATION
FD2095 (Rev 12/15)
SITE INFORMATION
FACILITY
Jaco #5562/ Fastrip #6
10mero
NAME & PHONE # OF CONTACT PERSON
Garcia 661 -393 -7000
ADDRESS
1640 South Chester Avenue, Bakersfield, CA 93304
OWNER NAME
Jaco Hill
OPERATOR NAME
Omero Garcia
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES
❑ NO
TANK #
VOLUME
CONTENTS
1
12000
87 -1
2
12000
87 -2
3
12000
91
4
12000
DSL
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services
NAME & PHONE # OF CONTACT PERSON
Jessica Baker 661- 631 -3780
MAILING ADDRESS
16250 Meacham Road, Bakersfield, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Aaron Perrigo 661- 573 -8968
CERTIFICATION #
B47853
DATE & TIME TEST TO BE CONDUCTED
091101201 aM/,7
3CC #
8485827
TEST METHOD
APPLI NT SI NAT E
DATE
0$o14i201 s
TH S APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 12/15)