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Home My WebLink AboutFMC Application 6-17-21BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 9 Fax: 661-852-2171 Page 1 of 1 ❑ SB -989 SECONDARY CONTAINMENT 8 OVERFILL PREVENTION SITE INFORMATION FACILITY #3346 Fastrip #621 UNDERGROUND STORAGE TANKS ADDRESS 805 34th Street APPLICATION OPERATOR NAME TO PERFORM ELD/LINE TESTING/ # OF TANKS TO BE TESTED: SB989 SECONDARY CONTAINMENT T A N K # TESTING/TANK TIGHTNESS TEST AND CONTENTS FUEL MONITORING CERTIFICATION 12000 (Please note that these are separate 2 individual tests and will be charged per 87-2 U N L separate type test accordingly.) 12000 PERMIT # ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ TANK TIGHTNESS 8 FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 9 Fax: 661-852-2171 Page 1 of 1 ❑ SB -989 SECONDARY CONTAINMENT 8 OVERFILL PREVENTION SITE INFORMATION FACILITY #3346 Fastrip #621 NAME & PHONE # OF CONTACT PERSON Omero Garcia (661) 393-7000 ADDRESS 805 34th Street OWNER NAME Jaxo Hill OPERATOR NAME PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO T A N K # VOLUME CONTENTS 1 12000 87-1 U N L 2 12000 87-2 U N L 3 12000 91 U N L TANK TESTING COMPANY TESTING COMPANY Confidence UST Services, Inc. NAME & PHONE # OF CONTACT PERSON Karli Karns (661) 631-3870 MAILING ADDRESS 16250 Meacham Road Bakersfield CA 93314 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Justin Williams (661) 859-9966 CERTIFICATION # TEST METHOD ICC # 8819073 APPLICANT SIGNATURE DATE 05/24/2021 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 09/20)