HomeMy WebLinkAbout5700 Auburn FMC Permit App. 4-20-16UNDERGROUND STORAGE TANKS
B E R S P I D
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TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. /e�' _"
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION
FACtLfTY AVO 1 s Shell
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 5700 Auburn St. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED?
0 YES 0 NO
TANK #
VOLUME
CONTENTS
1
87 UL
2
91 UL
3
Diesel
TANK TESTING COMPANY .
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661 -706 -4321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Bruce W. IHinsley 661 -706 -4321
CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED
ICC #: 8032698
SIGNATURE OF APPLICANT zhjg?'J:�r
DATE 312412016
Tim N"Aw"M
APPROVED BY 11, DATE �+
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