HomeMy WebLinkAboutOPI APP 8.6.19UNDERGROUND 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
❑ TANKTIGHTNESS
#f- '
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❑ LINE TESTING
❑ FUEL MONIFORING 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
EC)&ERFILLPREVENTION
FD209S (Rev 031105
SITE INFORMATION
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OWNER NAME
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PERMIT TO OPERATE #
{ OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK#
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TEST METHOD
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APPLICANT SIG ORE
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DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD209S (Rev 031105