HomeMy WebLinkAboutOPI app 10.21.19UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD /LINE TESTING/
S5989 SECONDARY CONTAINMENT
TESTING /TANK TIGHTNESS TEST AND
x Pni ale
PERMIT #
❑ ENHANCED LEAK DETECTION
❑ TANKTIGHTNESS
❑ LINE TESTING
❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 • Fax: 661 - 852 -2171
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T, L ERFILL PREVENTION
FD2895 (Rev 83118)
SITE INFORMATION
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ADDRESS
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OWNER NAME
OPERATOR NAME
PERMIT TO OPERATE a
# OF TANKS TO BE TESTED:
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TANK #
VOLUME
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CERTIFICATION N
TEST METHOD
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APPLICANT GNATURE
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
I DATE
FD2895 (Rev 83118)