HomeMy WebLinkAboutSB989 Application 7-22-21PERMIT #
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 8 SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION ❑ OVERFILL PREVENTION
SITE INFORMATION
BAKERSFIELD FIRE DEPARTMENT
NAME & PHONE # OF CONTACT PERSON
Omero Garcia (661) 393-7000
Prevention Services
UNDERGROUND STORAGE TANKS2101
H Street
Bakersfield, CA 93301
PERMIT TO OPERATE #
' Phone: 661-326-3979 • Fax: 661-852-2171
APPLICATION
• Page 1 of 1
TO PERFORM ELD/LINE TESTING/
CONTENTS
SB989 SECONDARY CONTAINMENT
12000
TESTING/TANK TIGHTNESS TEST AND
2
FUEL MONITORING CERTIFICATION
91 U N L
(Please note that these are separate
12000
individual tests and will be charged per
separate type test accordingly.)
PERMIT #
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 8 SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION ❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
#7705 Fastrip #641
NAME & PHONE # OF CONTACT PERSON
Omero Garcia (661) 393-7000
ADDRESS
1200 Coffee Road
OWNER NAME
Jamieson 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 U N L
2
12000
91 U N L
3
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
Justin Williams (661) 859-9966
CERTIFICATION #
TEST METHOD
ICC #
8819073
APPLICANT SIG UR
DATE
05/24/2021
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)