HomeMy WebLinkAboutOPI Application 12-9-22UNDERGROUND 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 ❑ LINE TESTING
❑ TANK TIGHTNESS ❑ RJEL MONITORING CERTIFICATION
50V%W%16 wr-iW.16v W -&■%16 v16rh5% s M161'% s
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 • Fax: •661-852-2171
Page 1of1
58-989 SECONDARY CONTAINMENT
OVERFILL PREVENTION
51 INFORMATION
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OWNER NAME
OPERATOR NAME PERMIT TO OPERATE �
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TANK TESTING ACOMPAIdY
TESTING COMP NAME & PHONE # OF CONTACT RS N
MAILING ADDRESS 1
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if THIS APPt3CATION BECOMES A PS MIT WHEN APPROVED
FD2095 (Rev 09/20)