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HomeMy WebLinkAboutApplication 11-20-19_4-8UNDERGROUND 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 ❑ TANKTIGHTNESS BAKERSFIELD FIRE DEPARTMENT Prevention Services aMA)PRISYRAF Qwt FF STREET Bakersfield, CA 93301 Phone: 661-326-3979 . Fax: 661-852-2171 Page 1 of 1 IT LINE TESTING ❑ SS -989 SECONDARY CONTAINMENT JJ�PLJEL MONITORING CERTIFICATION fACILID, Moo A TE INFORMATION NAME a PHONE A OF CONTACT PERSON Pamir TO OPERATE # *77; PIPING GOING TO BE TESTED? ❑ YES ❑ NO VOLUME CONTENTS lilt null TANK TESTING COMPANY TESTING COMPANY °�}C�{ -CNV\'RflA1M�fic`R� NAME & PHONE # OF CONTACT PERSON MAILING ADDRESS 5�y-3 NAME & MICH 3 OF fR OR SPE �(ZooKS C_T. - F3kKERSF1E.t-D�C>4 9330 ALC CERTIFIGITION Y p O� Qr) U3 DATE &TIME TESTM BE CO D APPUCANTSIGNA E IT F -Ar Icc# TEST METHOD DATE THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BT DATE H. mn.=,