HomeMy WebLinkAbout1520 20TH ST SB989 APP 6.1.15UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. d-'-
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B E 8 F I
AR1'!1! T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page 1 of 1
,!S ENHANCED LEAK DETECTION ,LS LINE TESTING SB -989 SECONDARY CONTAINMENT TESTING
.e TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION
FD 2095 (Rev. 09/05)
SITE INFORMATION
FACILITY
AT &T Corporation
NAME & PHONE NUMBER OF CONTACT PERSON
Grant Armstrong (661) 327 -6903
ADDRESS
1520 20th Street
OWNERS NAME
AT &T Corporation
OPERATORS NAME
AT &T
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? YES es NO
TANK #
VOLUME
CONTENTS
CAK01OU001
8,000 Gallons
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY
Tait Environmental
Services, INC.
NAME & PHONE NUMBER OF CONTACT PERSON
Carlos Cardenas (714) 567 -6418
MAILING ADDRESS
2131 South Dupont
Drive, Anaheim CA
NAME & PHONE NUMBER OF TESTER OR SPECIAL INSPECTOR
Adolfo Aguilar
CERTIFICATION #:
1732573702
DATE & TIME TEST TO BE CONDUCTED
6/1/2015 @ 9:00am
,
ICC #:
5238610
TEST METHOD
SIGNATURE OF APPLICANT
r
DATE 5/12/2015
R.t APPLICMION,
APPLICATION, BECOMES, A. PERMIT KEN APPROVED
APPROVED BY
DATE �--
FD 2095 (Rev. 09/05)