HomeMy WebLinkAboutOPI Permit 3-31-22UNDERGROUND STORAGE TANKS
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APPLICATION
TO PERFORM ELD/LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(,Please note that these are separate
Ondividual tests and will be Charged per
separate type test accordingly.)
PERMIT # I
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS
FACILITY
ADDRESS
OWNER NAME
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 * Fax: 661-852-2171
Page 1 of 1
LINE TESTING SEB -989 SECONDARY CONTAINMENT
PEL MONITORING CERTIFICATION OVERFILL PREVENTION
SITE INFORMATION
-------- ---
NAME &-PHONE ,# OF CONTACT PERSON
OPERATOR NAME ----FPERMIT TO OPERATE 0
# OF TANKS TO BE TESTED: IS PIPING GOING TO BE TESTED? ❑ YES
TANK# VOLUME
- — — -----------
TANK TESTING COMPANY
C 0 N T E N T S
NO
TESTING COMPA
NAVE & PHONE -# OF CONTACT PER N
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MAILING ADDRESS
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NAME & NE F T R R Ei� I OR CERTIFICATION #
009 43 1�0
TEST METT
H D ICC
A LICANT SI ATUn DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
FD2095 (Rev 09/20)