HomeMy WebLinkAbout2200 E BRUNDAGE LN LINE TEST APP 8.31.15UNDERGROUND 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 # ® GS
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
V vz
#,s
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326-3979 ® Fax: 661- 852 -2171
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191 LINE TESTING (Tank #4) ❑ SB -989 SECONDARY CONTAINMENT
❑ FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
Wholesale Fuels, Inc.
NAME & PHONE # OF CONTACT PERSON
O Garcia (661) 393 -7000
ADDRESS
2200 East Brundage Ln., Bakersfield, CA 93307
OWNER NAME
Jaco Oil Company
OPERATOR NAME
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services, Inc.
NAME & PHONE # OF CONTACT PERSON
Mel Bolton (661) 631 -3870
MAILING ADDRESS
16250 Meacham Road Bakersfield CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
4-87-935-5-
CERTIFICATION #
B40738 TMI -146 11 -1756
DATE & TIME T ST TO BE CONDUCTED
9:0 am
ICC #
TEST METHOD
TEI LT -3
APPL ANT IG T E /
DATE
Ir7
THIS APPLICATION BECOMES A PER IT HEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/08)