HomeMy WebLinkAboutOPI APP 11.28.18UN- DERGROUND 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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❑ SB -989 SECONDARY CONTAINMENT
® OVERFILL PREVENTION
SITE INFORMATION
FACILITY Jaco #3347/ Fastri #26
p
NAME &ero PHONE # OF CONTACT PERSON
Om Garcia 661 - 393 -7000
ADDRESS 698 Oswell Street, Bakersfield, CA 93306
OWNER NAME
Jaco Hill
OPER�mero barcia 661- 393 -7000
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal
87 -1
2
12,000 gal
87 -2
3
12,000 gal
91
4
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
Tim Capehart 661- 487 -9490
CERTIFICATION #
B47819
TEST METHOD
ICC #
8414476
APP ANT SIGN UR
r
DATE
L l
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)