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HomeMy WebLinkAboutApplication 2021_10_15_4-8UNDERGROUND 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 # I L ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ TANK TIGHTNESS IV FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 ® Fax: 661-852-2171 Page 1ofl SB -989 SECONDARY CONTAINMENT ❑ OVERFILL PREVENTION SITE INFORMATION FACILITY Pacific Bell Telephone Co. dba AT&T California NAME & PHONE # OF CONTACT PERSON Adolfo Aguilar (661) 361-4408 ADDRESS 1918 M Street, Bakersfield, CA 93301-4635 OWNER NAME Pacific Bell Telephone Co. dba AT&T California OPERATOR NAME AT&T PERMIT TO OPERATE # # OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES NO TANK # VOLUME CONTENTS SA004UO01 20,149 Gallons Diesel TANK TESTING COMPANY TESTING COMPANY Tait Environmental Services, Inc. NAME & PHONE # OF CONTACT PERSON Carlos Cardenas (714) 567-6418 MAILING ADDRESS 701 N. Parkcenter Drive, Santa Ana, CA 92705 NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR Patrick Banbury 714-920-5476 CERTIFICATION # Incon TS -STS 1001733709 TEST METHOD RP -1200 ICC # 5254955 APPLICANT SIGNATURE cm/.0ow'. C . ' '�4 DATE 09/09%2021 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 03/18)