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HomeMy WebLinkAboutSB989 APP 9-20-18UNDERGROUND STORAGE TANKSt FACILITY WORLD OIL (pan pacific) NAME & PHONE # OF CONTACT PERSON KEN 661 589 -3200 ADDRESS 1850 COFFEE RD OWNER NAME WORLD OIL R E R 6 F 1 D ... APPLICATION n ,_..._. _ .. _ ._....._.... ....... _._. FR T TO PERFORM ELD /LINE TESTING/ , SB989 SECONDARY CONTAINMENT CONTENTS TESTING/TANK TIGHTNESS TEST AND 12.000 GALLON FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and will be charged per separate type test accordinggy.) 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 [l SB -989 SECONDARY CONTAINMENT ❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION SITE INFORMATION FACILITY WORLD OIL (pan pacific) NAME & PHONE # OF CONTACT PERSON KEN 661 589 -3200 ADDRESS 1850 COFFEE RD OWNER NAME WORLD OIL OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? YES © NO TANK # VOLUME CONTENTS 1 12.000 GALLON DIESEL TANK TESTING COMPANY TESTING COMPANY BSSR INC. BANE & PHONE # OF CONTACT PERSON FIDEL CARRILLO 661 588 -2777 MAILING ADDRESS 6630 ROSEDALE HWY #B NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR FIDEL CARRILLO 661 588 -2777 CERTIFICATION # 672512 DATE &TIME TEST TO BE CONDUCTED 5 -10 -18 / 9:00 AM FCC # 5257282 TEST METHOD APPLICANT SIGNATURE C DATE 5 -2 -18 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 12/15)