HomeMy WebLinkAbout989 APP 12.17.18UNDERGROUND STORAGE TANKS
APPLICATION
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 #
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ 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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EX SB -989 SECONDARY CONTAINMENT
OVERFILL PREVENTION
SITE INFORMATION
'parkling Image
NAME & PHONE # OF CONTACT PERSON
Carl Fisher 661 - 324 -8455
ADDRESS
2301 H Street Bakersfield, CA 93301
OWNER NAME
Wash Depot Holdings, Inc
OPERATOR NAME
Carl Fisher
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal
87
2
12,000 gal
91
3
12,000 gal
DSL
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services, Inc.
NAME & PHONE # OF CONTACT PERSON
Jessica Baker (661) 631 -3870
MAILING ADDRESS
16250 Meacham Road, Bakersfield, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Frank Amestov IV
CERTIFICATION #
B46603
TEST METHOD
ICC #
8374998
APPLI T SIG TURE
r
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)