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HomeMy WebLinkAboutFMC Application 6-22-21UNDERGROUND 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 ❑ TANK TIGHTNESS ❑ LINE TESTING FUEL 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 8 OVERFILL PREVENTION SITE INFORMATION FACILITY Avo's Shell NAME & PHONE # OF CONTACT PERSON Avo Cholakian (661) 366-5542 ADDRESS 5700 Auburn Street OWNER NAME Avo's Shell OPERATOR NAME Avo Cholaikian PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO T A N K # VOLUME CONTENTS 1 20000 87 U N L 2 12000 91 U N L 3 12000 DSL f 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 Ron Clark (661) 565-3825 CERTIFICATION # TEST METHOD ICC # 9482314 APPLICANT SIG NAT R 7W� DATE 05/27/2021 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY 1 DATE FD2095 (Rev 09/20)