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HomeMy WebLinkAboutFMC Permit App 9-30-16UNDERGROUND STORAGE TANKS BAKERSFIELD FIRE DEPT. B34E x 8 F I D Prevention Services A R FIRS 0 TNAffir 2101 H Street & APPLICATION a Bakersfield, CA 93301 TO PERFORM ELD / LINE TESTING Tel.: (661) 326-3979 SB989 SECONDARY CONTAINMENT TESTING Fax: (661) 852-2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page 1 of 1 PERMIT NO. 1 lj�,7 - / OOE)o S--61 I ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB-989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing FACILITY Jim Burke Ford NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 2001 Oak 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? ❑ YES ❑ NO TANK # VOLUME CONTENTS 1 87 UL NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321 MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312 Bruce W. Hinsley 661-706-4321 CERTIFICATION #: A25212 DATE & TIME TEST TO BE CONDUCTED icc #: 8032698 SIGNATURE OF APPLICANT , jr� ! DATE 9/16/2016 I APPROVED BY I DATE 4 in gnq-;; tPAv nq/n!;i