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HomeMy WebLinkAbout300 Fairview Rd Bakersfield SWRCB Test Notification SUBMITTAL DATE: _______________________ Test Date and Time TANK TESTER INFORMATION UNDERGROUND STORAGE T ANK TANK A ND L INE INTEGRITY T ESTING, AND E NHANCED L EAK DETECTION TEST NOTIFICATION FORM OFFICE OF T ANK TESTER LICENSING OTTL@waterboards.ca.gov Test notifications for testing tank and line integrity testing, and enhanced leak detection (ELD) testing are required to be submitted to the Office of Tank Tester Licensing (OTTL) in accordance with the California Code of Regulations, tile 23, chapter 17, section 2772. If changes to test notifications occur after submittal t o OTTL, please notify OTTL of those changes immediately. Using this form, provide OTTL with the following information when submitting test notifications: FACILITY INFORMATION CERS ID Facility Name Facility Address City ZIP Code Company Performing the Test Phone Mailing Address Licensee Name OTTL License # Expiration Date TEST METHOD INFORMATION Test Method Components Tested Post Construction ELD: Is the form for post construction contractor statement attached? YES NO If no is selected, pr ovide general contractor statement prior t o testing. Failure to comply and provide all of the above information may result in disciplinary action against licensed tank tester. Please note that this notification does not waive the requirement for the 48- hour notice to the local agency in accordance with the provisions of California Code of Regulations, title 23, chapter 16, sections 2643(g) and 2644.1(a)(4). June 2020