HomeMy WebLinkAbout100 S Oswell- Application 4-11-19 FMC_4-9UNDERGROUND 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 o Fax: 661-852-2171
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❑ SB -989 SECONDARY CONTAINMENT
® OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Indieco
NAME & PHONE # OF CONTACT PERSON
Ben Dashtipour 661-477-4301
ADDRESS
100 South Oswell Street, Bakersfield, CA 93307
OWNER NAME
Ben Daashitpour
OPERATOR NAME
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
10,000 gal
87 Master
2
5,000 gal
87 Slave
3
5,000 gal
91
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
NAME & PHONE # OF CONTACT PERSON
Jessica Baker 661-637-3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Aaron Perrigo 661-304-2913
CERTIFICATION #
TEST METHOD
ICC #
8485827
APPLIC S E/_7 DATE
03/14/2019
_T
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)