HomeMy WebLinkAboutBUSINESS PLAN (3)
·
Nov. 10. 200411:53AM
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West Star Environmental, Inc.
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No. 5460
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SALES - CGlIISTRUCTION' - SERVICE
4688 W. JEN·..· STE 101, FRÈ$rto, Co\. 93722
(SS9) 2 378/. S9)~77-0106
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INSPECTION REQUEST
NOTE: INSPECTOR, TO CONFIRM TEST PLEASE INITIAL AT BOTTOM OF PAGE AND FAX TO (559) 277-0106
Date:
Attn:
Fax Number:
Conf. #:
661-852-2171
11/1012004
Insp, Steve Underwood
Facility Details
Permit #
Facility Name:
Facility Address:
City:
Telephone:
Contact Name:
Schedule Type:
Testing Company Details
Testing Company Name:
Testing Company Address:
City:
Telephone:
Tester's Name (Print):
Requested By:
24 Hour Test Results
(If necessary fill in
and fax back to Susan @ 559-277-0106)
Quick Shop
349 Union Avenue
Bakersfield, CA 93307
661-322-2102
Billy
Zip:
Fax:
Title:
661-322-8551
Facility Start-up
Routine Compliance
Retest
Reschedule
Cancellation
Annual Monitoring
Cathodic Protection (if applicable)
x
WSE
4688 W JENNIFER #101
FRESNO,CA
559-277-9378
Zip:
Fax:
Tester's ID #:
93722
559-277-0106
Susan Romanoff
Test Time:
11/30/04 @ 1pm
Test Test Scheduled Pass Fail
TP 201,3 Leak Decav
TP 201.3B Leak Decav (ASn
TP201.4 Back Pressure
TP201.5 Air to Liauid Ratio
TP201.6C Liauid Removal
VR101B
Annual Monitorina X
TP201.3C UST Tie Test
MLLD Mechanical Line Leak Test
LINE TEST Pressure Line Test
UST lntearitv Tiahtness Test
SB989 Test
Cathodic Protection
Comments:
I will fill out and return to you the permit request upon receipt. Thank you so much for all of your
help and information this morning. -Sue
Date Received:
Inspector acknowledgement: