HomeMy WebLinkAboutSB989 APP 8.14.19UNDERGROUND 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 teats and will be charged per
separate type test accordingly.)
PERMIT # D
❑ ENHANCED IFAK DETECTION
❑ TANK TIGHTNESS
�i
❑ LINE TESTING
❑ FUEL MON70RING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 -326 -3979 i Fax: 661 - 852 -2171
Page 1 of 1
0 SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Jam #7785/ Faatrip #32
MIME i PHONE +OF CONTACT PERSON
OIn Garcia 661 -393 -7000
ADDRESS
3701 Ming Avenue, Bakersfield, CA 93309
OWNER NAME
Jamieson Hill
OPERATOR NAME
Omero Garcia
PERMIT TO OPERATE R
k OF TANKS TO BE TESTED:
15 PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal.
87 UNL
2
12,000 gal.
91 UNL
3
12,000 gal.
DSL
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
N,tM[ E PHONE i OF CONTACT PERSON
Jessica Baker 681 -631 -3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME& PHONE R OF TESTER OR SPECIAL INSPECTOR
Tim Capehad (661) 573-8962
CERTIFICATION
TEST METHOD
Icc +
8414476
AP, p ANT NAT
DATE
7117/2019
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)