HomeMy WebLinkAboutApplication 6-16-2020AIak AN
UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD/LINE TESTING/ 010)
SB989 SECONDARY CONTAINMENT /f
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 ❑ LINE TESTING
❑ TANK TIGHTNESS 0 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
Shell
NAME A PHONE .i Of CONTACT PERSON
AVD Cholakian 661-303-9608
ADDRESS
5700 Auburn Street Bakersfield, CA 93306
OWNER NAME
AVG Cholakian
OPERATOR NAME
Avo Cholakian
PERMIT TO OPERATE I
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
20,000 gal.
87
2
12,000 gal.
91
3
12,000 gal.
DSL
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
NAME A PHONE P OF CONTACT PERSON
KEN Kam5661-631-3870
MAILING ADDRESS
16250 MEACHAM ROAD, BAKERSFIELD, CA 93314
NAME 8 PHONE # OF TESTER OR SPECIAL INSPECTOR
Jason Woods (661) 472-7323
CERTIFICATION t
TEST METHOD
DID i
8492093
APPLICANT SIGNATURE
/
DATE
6/3/20
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2D95 (Rev 03/19)