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HomeMy WebLinkAboutApplication 7-24-19 25_4-8UNDERGROUND 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 m FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ® SB -989 SECONDARY CONTAINMENT ❑ OVERFILL PREVENTION SITE INFORMATION FACILITY Jaco #7725/ Fastrip #19 NAME & PHONE # OF CONTACT PERSON Omero Garcia 661-393-7000 ADDRESS 4901 South Union Avenue, Bakersfield, CA 93307 OWNER NAME Jamieson Hill OPERATOR NAME Omero Garcia 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 12,000 gal. 91 UNL 3 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) 573-8962 CERTIFICATION # TEST METHOD ICC # 8414476 APPLIC SIGNA URE DATE 6/11/2019 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/18)