HomeMy WebLinkAboutApplication 10-30-2020_4-6UNDERGROUND 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.)
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
B E R S F I D
2101 H Street
FIRE Bakersfield, CA 93301
DEPARTMe r
Phone: 661-326-3979 e Fax: 661-852-2171
Page 1 of 1
PERMIT #
El ENHANCED LEAK DETECTION E] LINE TESTING
0 TANK TIGHTNESS R FUEL MONITORING CERTIFICATION
B-989 SECONDARY CONTAINMENT
SITE INFORMATION
FACILITY
Sprint Telecommunications
NAME 9t PHONE # OF CONTACT PERSON
ADDRESS715 E. Sumner St.
OWNER NAME
Sprint Telecommunications
OPERATOR NAME
Sprint Telecommunications
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? El YES El NO
TANK #
VOLUME
CONTENTS
1
550
Diesel
TANK TESTING COMPANY
TESTING COMPANY
Jauregui & Culver, Inc.
NAME & PHONE * OF CONTACT PERSON
Bianca Gonzalez (760) 743-0518
MAILING ADDRESS
959 W. Mission Ave.
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION #
Ben'amin Jaurequi/ (760) 638-6511 VR Technician B44005
I
DATE & TIME TES T TO BE CONDUCTED -
October 14, 2020 @ 9am
ICC #
8277373
TEST r-IETHOD
CA State
APPLICANT SIGNATURE DATE
on* September 14, 2020
Z5
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 12/15)