HomeMy WebLinkAboutOPI APP 8.9.19UNDERGROUND 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 a Fax 661 -852 -2171
Page 1 of I
❑ SB -989 SECONDARY CONTAINMENT
.42VERFILL PREVENTION
F.095 (Rev 03A.)
SITE INFORMATION
FACILITY
M11ME P PNOME t OF COMTaCTM"( L)q
ADDRESS
2
`i
OWNER NAME
OPERATOR NAME
PPRMIT TO OPERATE a
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
TANK TESTING COMPANY
TESTI O !M 2
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NAME ONE b
FEiTESTER R SPECIAL I SPECTOR
CERTIFICA
TEST METHOD
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APPLICANT GNATUR
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED,
APERWED BY
DATE
F.095 (Rev 03A.)