HomeMy WebLinkAboutApplication SB989_4-4UNDERGROUND 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 # D
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
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❑ IINETESTING
❑ NEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 N Fax: 661-852-2171
Page 1 Of 1
0 SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILRY
Jaco #3346/ Fastrip #621
HANE a PXON! N OF CONTAcT PERSON
Omero Garcia, 561-393-7000
ADDRESS
805 34th Street, Bakersfield, CA 93301
OWNER NAME
Omero Garcia, 661-393-7000
OPERATOR NAME
Omero Garda, 661-393-7000
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal.
87-1
2
12,000 gal.
87-2
3
12,000 gal.
91
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, ING.
NAME A PHONE i OF CONTACT PERSON
Jessica Baker 661-631-3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME a PHONE # OF TESTER OR SPECIAL INSPECTOR
Aaron Perrigo 661-304-2913
CERTIFICATION
TEST METHOD
ICC A
8414476
APYLICANT SIGNATU
DATE
11120/2019
THIS. APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD3095 (Rev 03/18)