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HomeMy WebLinkAbout355 CHESTER AVENUEUNDERGROUND STORAGE TANKS . 0 APPLICATION TO PERFORM ELD / LINE TESTING / S6989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION ~ 4 BAKERSFIELD FIRE DEPT. ~ Pxevention Services i w~ ~/ ~ 900 Truxtun Ave., Ste. 210 ~ Bakersfield, CA 93301 , ~ Tel.: (661) 326-3979/ ~ ' Fax: (661) 852-2~71 ' ~ r~ ~ Page 1 of 1 ~ z <<~ ~~ `~ ~ ~,~ ~1~ ZO ~ ~ ^ ENHANCED LEAK DETECTION ^ S&,989 SECONDARY CONTAINMENT TESTINeG f-1 ~rr. nrnnuci~~i un~urnouin~~T1AAI ' V PERMff N0. ~ ~ ~ 83 ~ ~.-.~.~. ........... ~~... •- • -"' -- ----- - --- ., `:': . ._ TE INFO - - .. : : ~. . . , . ~,_!- : ~ RMATI . N. .. . , . :: FACILITY ~ ~f ~ /' i'~crtif~-~ NAME 8 PHONE~NUMBER OF CONTACT PERSON '~ ~' 2 2 7a--? a ADDRESS 2~~ L~7 l.G S T~ V 'e ' /~-~(~-i l' r ~ v/ J OWNERS NAME . ~ ! _ / ('~ / ` ~ . ~,•~ 1 (~' Ll~ ~7 vc, OPERi4TORS NAME ~ PERMIT TO OPERATE N~. NUMBER OF TANKS TO BE TESTED I PIPING IN TO~BE TE TED? ^ Y ^ NO ,V C N ENT ' ~ ~~ / 2 ~'lf ; ~r~ r~ ~ ~ ' ,, . , _ ~ ~' ~ , ~; , ~ _ .. ~ , ,.,;;'~TANK4TESTING COMPANY _ . . .. . -, ,. . ,. . ... _.. NAME OF TESTIN OMP Y c~ ~ o-~vl r NAME 8 PHONE NUMBER F CONTACT PERSON - S MAILING ADDRESS ~ j/U~ S C, ~ ~~ NAME 8 PHON UMBER OF T TER OR SPECIA~NSPECT ~R CERTIFICATION #: ~~1 ~~~ U v DATE 8 TIME TEST TO BE CONDUCTED /- ~i-o~ ICC #: /~Ll G ~ ~ EST ETHOD ~l2c~ SIGNATURE OF APPUCANT ~ ~ DATE ~ ^ ~ ~ -U APPROVED BY DATE ru [vao (rctlv. ~arvv/ ~ iv I~s '7-~ B ~ ~ ~ ~~ D ~- ~~ ~ ~°~ - ~5-~ ~~~ usr LINE TESTING; TANK TIGHTNESS TESTING; SB888 SEC CONT TESTING; ELD JWy 7. PWE - Juu 30. 2007 C0.EDIT CA0.D NO. AMT or CHECK RECEIVT PERMIT DATE CONTRACTOR NAMSITENAME ADDRESS INSPTANKS PAID NO. NO. NO. 09/27/OS REDWINE TESTING ~ Day & Night Market 355 S Chester Ave (01) 58989 $79 TT-0226 07/24/06 CAL VALLEY EQU[PM Day & Night Market 355 S Chester Ave (01) CathProt-07/24 noon $81 54912 13117 TT-400 OS/04/07 RICH ENVIRONMENT DAY & NIGHT MARKET 355 5 Chester Ave (01) FM Cert 5/14/07 9AM $81 1692 TT- 0544 TN Taatl'p: f70.00 M~tWt~ nolV> We (~ ~~ T~) 5:1PERMIT LOGS aG d UrMUS7Ul5T Tad Tw TT Tadc LYbp Re-trnp TLR 5898Y Ssc Cmt Tpt 1 r! 7