HomeMy WebLinkAbout2700 OSWELL FMC APP 6.15.15UNDERGROUND 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 # .
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
x
1
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 • Fax: 661- 852 -2171
Page 1 of 1
❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
0 FUEL MONITORING CERTIFICATION
FD2095 (Rev 03/08)
SITE INFORMATION
FACILITY
NAME & PHONE # OF CONTACT PERSON
ADDRESS
2700 Oswell Street
Bakersfield CA 93306
OWNER NAME
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
Brad seykcra (661) 487-92155
CERTIFICATION #
B43626
DATE & TIME T ST TO BE CONDUCTED
ICC #
TEST METHOD
A PLIC NT ICyfVA E
DATE ,
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
.52
DATE
FD2095 (Rev 03/08)