HomeMy WebLinkAboutFMC APP 9.19.19UNDERGROUND 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 # D
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS 0 FUEL MON70RING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 E Fax: 661- 852 -2171
Page 1 of 1
0 SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILTIY
Jam #3351/ Howard's #4
NAME E PHONE # OF WRINICr PERSON
Omem Garcia 661- 393 -7000
ADDRESS
3200 Panama Lane, Bakersfield, CA 93313
OWNER NAME
Jam Hill
OPERATOR NAME
Omem Garcia
PERMIT TO OPERATE 4
# OF TANKS TO BE TESTED:
15 PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal.
87 -1
2
12,000 gal.
87 -2
3
12,000 gal.
91
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
NAM! a PRONE a OF CONTACT PERSON
Jessica Baker 661- 631 -3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME L PHONE # OF TESrER OR SPECIAL INSPECTOR
Aaron Perrigo 661-304-2913
CERTIFICATION #
TEST METHOD
SEO E
8485827
APPLICA GNAT
DATE
6/12/2019
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/10)