HomeMy WebLinkAboutSb989 Application 9-23-21PERMIT #
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ 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
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Jaco #7773 Fastrip #31
UNDERGROUND STORAGE TANKS
ADDRESS
3501 Mt Vernon Avenue, Bakersfield, CA 93306
APPLICATION
D
TO PERFORM ELD/LINE TESTING/
# OF TANKS TO BE TESTED:
S6989 SECONDARY CONTAINMENT
TANK #
TESTING/TANK TIGHTNESS TEST AND
CONTENTS
FUEL MONITORING CERTIFICATION
12,000 gal.
(Please note that these are separate
2
individual tests and will be charged per
91
separate type test accordingly.)
PERMIT #
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ 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
❑ OVERFILL PREVENTION
SITE INFORMATION
FACILITY
Jaco #7773 Fastrip #31
NAME & PHONE # OF CONTACT PERSON
Omero Garcia, 661-393-7000
ADDRESS
3501 Mt Vernon Avenue, Bakersfield, CA 93306
OWNER NAME
Omero Garcia, 661-393-7000
OPERATOR NAME
Omero Garcia, 661-393-7000
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12,000 gal.
87
2
12,000 gal.
91
TANK TESTING COMPANY
TESTING COMPANY
CONFIDENCE UST SERVICES, INC.
NAME & PHONE # OF CONTACT PERSON
Karli Karns 661-631-3870
MAILING ADDRESS
2209 ZEUS COURT, BAKERSFIELD, CA 93308
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Justin Williams (661) 859-9966
CERTIFICATION #
TEST METHOD
ICC #
8819073
APPLICANT SIGNATURE
DATE
08/25/2021
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 03/18)