HomeMy WebLinkAboutSB989 APP 10.14.19UNDERGROUND 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
❑ TANK TIGHTNESS
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❑ LINETESTING
❑ FUEL 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
0 SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILUY
Jam #7705/ Fastrip #641
NAME a PHONE f OF CONTACT PERSON
Omero Garcia 661- 393 -7000
ADDRESS
1200 Coffee Road, Bakersfield, CA 93308
OWNER NAME
Jamieson Hill
OPERATOR NAME
Omem Garcia
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? O YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal.
87 UNL
2
12,000 gal.
91 UNL
3
12,000 gal.
DSL
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
NAME N PHONE # OF CONTACT PERSON
Jessica Baker 661 - 6313870
MAILING ADDRESS
16260 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME a PHONE R OF TESTER OR SPECIAL INSPECTOR
Tim Capehart (661) 573 -8962
CERTFICATION Y
TEST METHOD
ICC Y
8414476
SIGN 0.E
DATE
9/17/2019
THIS PPLICATION BECOMES A PERMIT WHEN APPROVED
7P�OvED
BY
DAT E
FD2095 (Rev 03/18)