HomeMy WebLinkAboutUST-TIGHTNESS TEST 9/24/2004
09/29/2004 11: 11 AN
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CITY OF BAKERS ELD
OFFICE OF ENVIRONMEN L SERVICES
1715 Chester Ave., Bakersfield, A (805) 326-3979
APPLICATION TO PERFORM A TANK TIG ITNESS TEST
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ADDRESS
PERMIT TO OPERATE 1#
OPERATORS NMŒ_~__.__
OWNERS NAME
NUMBER OF TANKS TO BE TESTED
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IS PIPING GOING TO BE TESTEDL
CONTENTS
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CERTLFICA TION #
DATE & T11vŒ TEST IS TO BE CONDUCTED
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APPROVED BY
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