HomeMy WebLinkAboutFMC Application 6-29-21UNDERGROUND 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
8 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
N OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Kern County Superintendent of Schools
NAME & PHONE # OF CONTACT PERSON
David Leper (661) 852-5812
ADDRESS
705 South Union Avenue
OWNER NAME
Kern County Superintendent of Schools
OPERATOR NAME
David Leper
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 U N L
2
12000
Diesel
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 SI N TU E
7*
DATE
05/27/2021
J THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)