HomeMy WebLinkAboutMINOR APP 4.16.19• , ri isT.-Ta
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
AERSFIEL.D FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 -326 -3979 a Fax: 661- 852 -2171
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❑ SB -989 SECONDARY CONTAINMENT
X OVERFILL PREVENTION
FACILITY NAME & PHONE # OF CONTACT PERSON
Bakersfield City Corp Yard Miguel Hererra (661) 326 -3785
ADDRESS
4101 Truxtun Avenue, Bakersfield, CA. 93309
OWNER NAME
City of Bakersfield
OPERATOR NAME PERMIT TO OPERATE #
Miguel Hererra
# OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES . ❑ NO
TANK# VOLUME CONTENTS
1 15,000 Unleaded
2
15,000 1 Diesel
TESTING COMPANY
NAME & PHONE # OF CONTACT PERSON
Cal Valley Equipment
Jerry Rangel 661 -615 -4076
MAILING ADDRESS
7608 Fruitvale Avenue, Bakersfield, CA. 93308
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
CERTIFICATION #
Jerry Rangel 661- 979 -0953
Veeder Root: 835460, OPW:0128241, Incon: 1037433709
TEST METHOD
ICC #
Industry Standard
8160834
APPLICANT SIGNATURE _
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
I DATE
FD2095 (Rev 03/18)