HomeMy WebLinkAboutSB989 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 #
❑ ENHANCED LEAK DETECTION ❑ UNETESTING
❑ TANK TIGHTNESS 0 FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 R Fax: 661 - 852 -2171
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0 SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACXnY
Jaco #3351 / HoWard's #4
NAME a PHONE # OF CONTACT PERS0N
Omem Garda 661- 393 -7000
ADDRESS
3200 Panama Lane, Bakersfield, CA 93313
OWNER NAME
Jam Hill
OPERATOR NAME
Omem Garda
PERMIT TO OPERATE
# OF TANKS TO BE TESTED:
IS 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 LIST SERVICES, INC.
NAME a PHONE # OF CONTACT PERSON
Jessica Baker 661-631 -3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME S PHONE # OF TESTER OR SPECIAL INSPECTOR
Aaron Perdgo 661304 -2913
CERTIFICATION 8
TEST METHOD
TCC #
8485827
APPLICA GNAT
DATE
8/12/2019
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)