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HomeMy WebLinkAbout2 OAK STREET~ COB UNDERGROUND STORAGE TANK 1/6/2009 4:22:53 PM PAGE 10/010 Fax Server APPLICATION TO PERFORM A TANK LINING RE-INSPECTION PERMff NO. O/~ ' 11 L[ ~.. ri -~ Page 1 of 1 ~:~~ v~ .li ~ . .~ `~ ;,~~ ?~ , ~~~ !%~ -~}_ ~, , Y ~1. ~ I FACILITY ~~~~L 1 ~ ' ADDRESS ~ ~~-~ S ( OPERATORS NAME sTU,~ '(~E-t--IZoL~vm PERMI7 70 OPERATE N0. OWNERS NAME ~~'u A-~ i t~'E'rR o~G v w~ NUMBER OF TANKS TO BE TESTED / IS PIPING GOING TO BE TESTEO? o YES ~'No . ., 7ANK.NQ.: , :. . . . . . ` : ~. CONTENTS ' UOLUME I ~2~,w~ -.°I I ~ v, o o~ ~ 5 ~ Ss ~c,,.., S 1„~~ t.L i~~ Ao ~ ,~ (r ~ ~ G-y9-S ~ ~ la- . '~ L~.~ `~,A- r ~vw- ~~ t ~~ L V'l~ ~ L~"~~•v ~F,4~ r~/z I S Go i,.~. ~ rv ~ ~a 1•vv s~ ~ s ~ ~~ 1~~..~ 1~ 2l w~,~-~ . 1.~ I L L aQ-~/L ~6~ ,~-~i lS TANK TESTING COMPANY R~ ~b~ E,Nu i Rc~ ~ w~ ~iu~-L MAILING ADDRESS 5~e~1 ~Rvo~S ~ I NAME 8 PHONE NUMBER OF CONTACT PERSON ~ AP_,~~ I.~,~-~ totel -'76c~ ' g(o ~ 8 TEST METHOD NAME OF TESTER OR SPECIAL INSPECTOR CERTIFICATION t10. DATE 8 TfME TEST IS TO BE CONDUCTED SIGNATURE OF A Pk _ ,_ „ DATE ~ l~ ~~~ APPROVEp BY G.~ DATE j ^ 7~d ~ FD 2096 ~rta~. as~os~ R ~ HRSFIS~LD ~ F/Ra ) DLDA1fTMd ~ BARERSFIELD FIRE DEPT. Prenention Seroices 900 Truxtun Ave., Ste. 210 Bakersfield, CA 93301 V~v Tel.: (661) 326-3979 Fax• (661) 852-2171 '~a~ , W ~1ty af aakersfield~#~ ~~~ [;llSTU;h~.k~ ~E.GEIGT ~~;;.; i'~P'.il~iFORD i ~ece~.r;kCn Draca~93~^5 L~t~e: 4/6;1/0~ ~• ~ flpo~~r~t i;esr_riti~tien ~k S{;c~IYL IP~iG~CT;tiNS_ ~i4 l ~~ 6iy2.~Q ;~n~ier de~ail f't~ U~'vit ~ iotal C~nderrd 'ioi,a'. r,a}~went ~ran~ da~e: 4~~i b19=.~a ~192. d~~! $~5~. 0~+ 41~1;Q~9 Ti+~e: ~0;53;14 1 i41~ Gl1Y TkE~URER'S:~'tFIL'E I5 t+~VIPl6 RS ; s~- t~~Ni~Y Ft~~l~-~V ~3t2L~ T~ 160~ TRU~TUPl