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HomeMy WebLinkAboutFMC APP 11.22.19UNDERGROUND 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 # D ❑ ENHANCED TEAK DETECTION ❑ TANK TIGHTNESS �SEST2f a ��o ❑ LINE TESTING E2 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 ❑ SR -989 SECONDARY CONTAINMENT rn OVERFILL PREVENTION SITE INFORMATION FACILITY Wholesale Fuels Inc NAME A PHONE # OF CONTACT PERSON Omem Garcon 661-193-7000 ADDRESS 2200 East Brundage Lane Bakersfield, CA 93307 OWNER NAME Jaco Oil Company OPERATOR NAME PERMIT TO OPERATE # #OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS 1 10000 gal DSI 2 10000 gal Red DSI 3 20000 gal DSI 4 20000 gal 87 5 20000 gal Red DSI 6 20000 gal Red DSI TANK TESTING COMPANY TESIING COMPANY Confidence UST Services, Inc. MANE R PHONE R W CONTACT PERSON Jessica Baker (661) 631 -3870 MAILING ADDRESS 16250 Meacham Road, Bakersfield, CA 93314 NAME N PHONE # OF TESTER OR SPECIAL INSPECTOR Aaron Perri o CERTIFICATION Y TEST METHOD rCC i 827 APP AM G ORE DATE !a lP q THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED 91 DATE FD2095 (Rev 03/18)