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Home My WebLink About989 App 10-1-18PERMIT # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS ❑ LINE TESTING BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 -326 -3979 . Fax: 661 - 852 -2171 Page 1 of 1 FUEL MONITORING CERTIFICATION ® SB -989 SECONDARY CONTAINMENT SITE INFORMATION FACILITY Plaza Towers UNDERGROUND STORAGE TANKS ADDRESS 3015 Wilson Road, Bakersfield, CA 93309 OWNER NAME Housing Authority of Kern County B E R S F I D APPLICATION FIRE aRr r TO PERFORM ELD /LINE TESTING/ TANK # SB989 SECONDARY CONTAINMENT CONTENTS TESTING /TANK TIGHTNESS TEST AND 300 gal FUEL MONITORING CERTIFICATION (Please note that these are separate individual tests and will be charged per separate type test accordingly.) PERMIT # ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS ❑ LINE TESTING BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661 -326 -3979 . Fax: 661 - 852 -2171 Page 1 of 1 FUEL MONITORING CERTIFICATION ® SB -989 SECONDARY CONTAINMENT SITE INFORMATION FACILITY Plaza Towers NAME & PHONE # OF CONTACT PERSON Michael Ruiz (661) 832 -3206 ADDRESS 3015 Wilson Road, Bakersfield, CA 93309 OWNER NAME Housing Authority of Kern County OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS 1 300 gal 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 CERTIFICATION # B47853 DATE & TIME TEST TO BE CONDUCTED 10/01/2018 9:0 am Icc # 8485827 TEST METHOD APPLIC SIGNA URE DATE 00/10/2018 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 12/15)