HomeMy WebLinkAboutfmc Application 4-27-22UNDERGROUND 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
�EPAR�
❑ LINE TESTING
FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: 661-852-2171
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❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
FD2095 (Rev 09/20)
SITE INFORMATION
FACILITY
Jaco #3351 Howard's #4
NAME & PHONE # OF CONTACT PERSON
Omero Garcia (661) 393-7000
ADDRESS
3200 Panama Lane
OWNER NAME
Jaco Hill
OPERATOR NAME
Omero Garcia
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED: 4
IS PIPING GOING TO BE TESTED? ❑ YES
8 NO
T A N K #
VOLUME
CONTENTS
1
12000 gal.
87-1
2
12000 gal.
87-2
3
12000 gal.
91
4
12000 gal.
DSL
TANK TESTING COMPANY
TESTING COMPANY
Nwestco LLC dba 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
Ron Clark (661) 525-3825
CERTIFICATION #
C27795
TEST METHOD
ICC #
9482314
PPLICANT SIGNATURE
DATE
04/11/2022
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)