HomeMy WebLinkAboutApplication11-27-19_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 If D
❑ ENHANCED. LEAK DETECTION
❑ TANKTIGHTNESS
❑ LINE TESTING
m FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 P Fax: 661-852-2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Express Gas
NAME A PNONE Y OF CONTGCT FENSON
Hussain "Sam" Monsour 661-328-0732
ADDRESS
928 Flower Street Bakersfield, CA 93305
OWNER NAME
Express Gas
OPERATOR NAME
Hussain "Sam" Monsour
PERMIT TO OPERATE I
# OF TANKS TO BE TESTED:
15 PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal.
87 UNL
2
8,000 gal.
91 UNL
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
NAME a PHONE d OF CONTACT PERSON
Jessica Baker 661-631-3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME $ PHONE R OF TESTER OR SPECIAL INSPECTOR
Frank Amestoy 661-619-3341
CERTIFICATION#
TEST METHOD
ICC
8374998
ED T$ ATVRE
DATE
f
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2015 (Rev 03/18).