HomeMy WebLinkAboutFMC APP 10.1.19UNDERGROUND 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 # O
❑ ENHANCED LEAK DETECTION
❑ TANKTIGHTNESS
(0000
❑ LINETESTING
❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 s Fax: 661 -852 -2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
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OWNER NAME
OPERATOR NAME 1
PERMIT TO OPERATEY
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
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TANK TESTING COMPANY
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APPLICANT SIGNATURE
DATE
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THIS APPLICAT N #JCOMES A PERMIT WH APPR VED
APPROVED BY !
DATE
( FD2095 (Rev 03/19)