HomeMy WebLinkAboutApplication 2-20-2020_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 # I
❑ ENHANCED LEAK LEAK DETECTION J
❑ TANKTIGHTNESS
❑ UNETESTING
❑ FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 . Fax: 661-852-2171
Page I of i
❑ SB -989 SECONDARY CONTAINMENT
VERFILL PREVENTION
SITE INFORMATION
FACILITY
Arco Am Pm
NAME A PHONE F OF CONTACT PERSON
Dinesh Shards (909) 560-1617
ADDRESS
2301 F Street, Bakersfield CA. 93301 _
OWNER NAME
SSG Group _
OPERATOR NAME
Aroo Am Pm
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
_
IS PIPING GOING TO BE TESTED? ❑ YES, NO
TANK#
VOLUME
CONTENTS
TANK TESTING COMPANY
TESTING COMPANY
Cal Valley Equipment
NAME & PHONE # OF CONTAI PERSON
Jen, Rangel
MAILING ADDRESS
7608 Fruttvale Avenue, Bakersfield, CA. 93308
NAME A PPONE # OF TESTER OR SPECIAL INSPECTOR
Jerry Rangel
CERTIFICATION #
iOPUY 0128241
TEST METHOD
Indus" Standard
ECC A`
8990824
APPLICANT SIGNATURE
c
DATE
2-;-
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
F02WIS OUII 03)18)