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HomeMy WebLinkAbout4013 S. H St.- Application 989 4-10-19_4-4UNDERGROUND 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 Page 1of1 Ed SB -989 SECONDARY CONTAINMENT ® OVERFILL PREVENTION SITE INFORMATION FACILITY Jaco #7721/ Fastrip #22 NAME & PHONE # OF CONTACT PERSON Omero Garcia 661-393-7000 ADDRE4b13 South H Street, Bakersfield, Ca 93304 OWNER NAME Jamieson Hill OPERATOR NAME Omero Garcia, 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 UNL 2 127000 gal 91 UNL 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) 573-8962 CERTIFICATION # B47852 TEST METHOD ICC # 8414476 APPLIC T SI ATURE DATE 3/1/2019 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/18)