HomeMy WebLinkAboutApplication 7-14-20_4-8UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD/LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
PERMIT # 1
❑ ENHANCED LEAK DET��KTION JJ
❑ TANKTIGHTNESS
❑ LINE TESTING
ERXfUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Fiesta Liquor
Ed 323-4684
i ADDRESS
2023 Baker Bakersfeld, CA 93305
OW NER NAME
OPERATOR NAME
PERMIT TO OPERATE n
# OF TANKS TO BE TESTED:
15 PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
TANK TESTING COMPANY
TESTING COMPANY
SSSR, Ina
Kelly 588-2777 _
_-
MAILING ADDRESS
6630 Rosedale Hwy. #B, Bakersfield, CA
NAME a PHONE A OF TESTER OR SPECIAL INSPECTOR
Nathan Holman
CERTIFICATION w
TEST FETHOO
8111067
APPLI NTTUR
DATE
6-16-21
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED 8Y
DATE
Fr20 E (Rev 03/18)