HomeMy WebLinkAboutSB989 APP 7.28.19UNDERGROUND 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
indWidual tests and will be charged per
separate type test accordingly.)
PERMIT #
❑ ENHANCED LEAK DETECTION ❑ LINETESTING
❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979 e Fax: 661 -852 -2171
Page i of 1
SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
__--- - - - - -- - - -_ --
SITE INFORMATION
FACILITY
TNAME & PHONE # OF CONTACT PERSON
Bakersfield City Corp Yard
6-3765
_ Mlguel H¢rerta (661)326- 3'185
_1
I ADDRESS
4101 Truzmn Avenue, Bakersfield, CA. 93309
OWNER NAME
j City Of BakeRfleltl
f OPERATOR NAME
PERMITTOOPERATES
Miguel Hererre
N OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
_
r
TANK#
VOLUME CONTENTS
1
15,00 Ualeaded
2
1 5,00 � Uivsd
I
TANK TESTING COMPANY
TESTING COMPANY
NAME &PXONEfiOF CONTACT PERSON
Cal Valley Equipment
Jr" Rangti tRO- 615 <076
MAILING ADDRESS
7608 loonvole Avenue, Bakersfield, CA. 93308
NAMF &PHONE #OF TESTER ORSPECUL INSPECTOR
CERTIFICATIONt
]err, RanOel 661 -979 -0953
Veeder RooI 835460, OPW:0326241, Incon: 1037433709
TEST MFfH00
ICLY
Industry Standard
APPLICANT SIGNATURE
DATE
THIS APPLICAYION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (ReV 03/18)