HomeMy WebLinkAboutTANK TIGHTENING TEST
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CITY OF BAKERSFIELD
OFFICE OF ENVIRONMENTAL SERVICES
1715 Chester Ave., Bakersfield, CA (661) 326-3979
APPLICATION TO PERFORM A TANK TIGHTNESS TEST/
SECONDARY CONTAINMENT TESTING
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FACILITY _Ke.n, CoUI\ i-*,~e,1\f.,r ~ \ Ser-v~t,ec - .s~erï 0( l:ourf-
ADDRESS ".ILlrS"".Trú.x+lA,( A\Ie...) Ba.-t.er's+1e.-~) c.A
PERMIT TO OPERATE #
OPERATORS NAME
OWNERS NAME
NUMBER OF TANKS TO BE TESTED
TANK # VOLUME
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IS PIPING GOING TO BE TESTED Yes
CONTENTS
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TANK TESTING COMPANyí(e1wLF'L Te...çh~ SenHG-f.-J) XI\(.,
MAllJNGADDRESS Po Box 1S:~,7 Dcd:.er..st/eJd) CA: q33o;)'~/SIo7
NAME & PHONE NUMBER OF CONTACf PERSON L)'jaY\ ~rf\Y ftJlol-J3Q-fDïC{3
TEST METHOD .L()CÁ)Y\.
NAME OF TESTER OR SPECIAL INSPECfOR~ ~LL<~ l!..k.....
CERTIFICA TION #
DATE & 1Th1E TEST IS TO BE CONDUCTED l\Jo\Ji'Þ\.bu L9 )JOD"l.~ q~ðð /tM
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APPROVED BY DATE SI NATURE OF APPUCANT