HomeMy WebLinkAboutFMC APP 10.15.19UNDERGROUND STORAGE TANKS
APPLICATION
TO °ERFORM 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 ft D
❑ ENHANCED LEAK DETECTION
❑ TANKTIGHTNESS
(0
�❑f/L)IINE TESTING
% a11EL 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 1
❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
FD2095 (Rev 03/18)
SITE INFORMATION
FACILITY
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OWNER NAME
OPERATOR NAME
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f OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES
❑ NO
TANKaI
VOLUME
CONTENTS
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TANK TESTING COMPANY
TESTING COMPA
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CERTIFI IO B ^L4I
TEST METHOD
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APPLICANT SIGNAi E
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DATE
THIS APPLICATION BECOMES
A PERMIT WHEN APPROVED
APPROVED By
I DATE
FD2095 (Rev 03/18)