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HomeMy WebLinkAbout7851 OPI_4-4UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD/LINE TESTING/ SB989 SECONDARY CONTAINMENT TESTING/TANK TIGHTNESS TEST AND scPala[a L. PERMIT R D ❑ ENHANCED LEAK DETECTION ❑ TANK TIGHTNESS ❑ LINE TESTING ❑ FUEL MONITORING CERTIFICATIONrK BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ❑ SB-989SECONDARY CONTAINMENT OVERFILL PREVENTION SITE INFORMATION FACILITY Arco B-1 a PH -1 v 01—NIA1 I vER.oN ADDRESS 7851 Rosedale Hwy. Bakersfield OWNER NAME OPERATOR NAME PERMIT TO OPERATE Y. C OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK If VOLUME CONTENTS TANK TESTING COMPANY TESTING COMPANY BSSR, Inc. iICT PIRSUN Kelly Tackelt 588-2777 8 - MAILINGADDRESS MAILING ADDRESS 6630 Rosedale Hwy. #B Bakersfield, CA NAME ®PHONE # OF TESTER OR SPECIAL INSPECTOR Salvador Sanchez CERTIFICATION n TEST METHOD 5309490 APPLICANT SIGNATURE DATE 10,4-19 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2R35 (Ra, 03/16)