HomeMy WebLinkAboutSB989 APP 8.15.19UNDERGROUND 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
❑ TANK TIGHTNESS
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❑ LINE TESTING
❑ FUEL MONITORING 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 -9B9 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Arm AMPM
NAME a PHONE Y OF CONTACT PERSON
Ibraham 661 - 4725480
ADDRESS
2698 Mt Vernon Ave Bakersfield 93306
OWNER NAME
St Peter & St Paul LLC
OPERATOR NAME
Ibraham
PERM T TO OPERATE I
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
20,000 gal.
87
2
12,000 gal.
91
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
NAME a PNONE.1 OF CONTACT PERSON
Jewica Baker 661 -631 -3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME a PHONE A OF TESTER OR SPECIAL INSPECTOR
Tim Capehart (661) 573-8962
CERTIFICATION Y
TEST METHOD
ICC #
8414476
APPLIC T SIG OR
DATE
7/17/2019
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)