HomeMy WebLinkAboutApplicationBAKERSFIELD FIRE DEPARTMENT
TANK TESTING COMPANY
TESTING COMPANY NAME & PHONE # OF. CONTACT PERSON `
CONFIDENCE UST SERVICES, INC. Jessica Baker 661-631-3870'
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
Tim Capehart (661) 573-8962
TEST METHOD ICC #
8414476
APPLI T SIGN TUR DATE
6/11/2019
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
D BY I DATE
FD2095 (Rev 03/18)
Prevention Services
- =
2101 H Street
UNDERGROUND STORAGE TANKS
Bakersfield, CA 93301
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Phone: 661-326-3979 • Fax: 661-852-2171
APPLICATION
A
Page 1 of 1
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 # L- I
❑ ENHANCED LEAK DETECTION
❑ LINE TESTING
❑ SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS
m FUEL MONITORING CERTIFICATION
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
NAME & PHONE # OF
CONTACT PERSON
Jaco #7705/ Fastrip #641
Omero Garcia 661-393-7000
ADDRESS
1200 Coffee Road, Bakersfield, CA 93308
OWNER NAME
Jamieson Hill
OPERATOR NAME
PERMIT TO OPERATE #
Omero Garcia
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED?
❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal.
87 UNL
2
12,000 gal.
91 UNL
3
12,000 gal.
DSL
TANK TESTING COMPANY
TESTING COMPANY NAME & PHONE # OF. CONTACT PERSON `
CONFIDENCE UST SERVICES, INC. Jessica Baker 661-631-3870'
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
Tim Capehart (661) 573-8962
TEST METHOD ICC #
8414476
APPLI T SIGN TUR DATE
6/11/2019
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
D BY I DATE
FD2095 (Rev 03/18)