HomeMy WebLinkAboutApplication SB989-8-31-2020_5-5UNDERGROUND 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 #
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ 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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V SB -989 SECONDARY CONTAINMENT
J4 OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Pacific Bell Telephone Co. dba AT&T California
NAME & PHONE # OF CONTACT PERSON
Allen Renuk (661) 327-6903
ADDRESS
1918 M Street, Bakersfield, CA 93301-4635 I
OWNER NAME
Pacific Bell Telephone Co. dba AT&T California
OPERATOR NAME
AT&T
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? vur YES ❑ NO
TANK ##
VOLUME
CONTENTS
SA004UO01
20,140 Gallons
Diesel
TANK TESTING COMPANY
TESTING COMPANY
Tait Environmental Services, Inc.
NAME & PHONE # OF CONTACT PERSON
Carlos Cardenas (714) 567-6418
MAILING ADDRESS
701 N. Parkcenter Drive, Santa Ana, CA 92705
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Adolfo Aguilar 714-231-4393
CERTIFICATION #
Incon TS -STS 1007483708
TEST METHOD
RP -1200
ICC #
8455952
APPLICANT SIGNATURE
DATE
8/4/2020
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)