HomeMy WebLinkAboutFMC & LINE TEST APP 11-6-18UNDERGROUND STORAGE TANKS
PERMIT #
❑ ENHANCED LEAK DETECTION VLINE TESTING
❑ TANK TIGHTNESS 12 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
OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Wholesale Fuels, Inc
NAVE & PHONE # OF CONTACT PERSON
ADDRESS
2200 East Brundage Lane Bakersfield, CA 93307
OWNER NAME
Jaco Oil Company
OPERATOR NAME
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
10000 gal
DSI
2
10000 gal
Red DSI
3
20000 gal
DSI
4
20000 gal
87
5 CT,
20000 gal
Red DSI
6 /A
Ly
20000 gal
Red DSI
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services, Inc.
NAPE & PHONE # OF CONTACT" PERSON
[Jessica Baker (661) 631 -3870
MAILING ADDRESS
16250 Meacham Road, Bakersfield, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Aaron Perri go
CERTIFICATION #
TEST METHOD
ICC #
8485827
APP AN SIGNATURE
s
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)