HomeMy WebLinkAboutUST-APPL 4/8/2015UNDERGROUND STORAGE TANKS
B B R S P I D
FIRS
ARTN" r
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.-- ��� .
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., 1St Floor
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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❑ ENHANCED LEAK DETECTION ❑ LINE TESTING X SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY Lucky 7 #3
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 726 S. Union Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Sane
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
87 UL
2
91 UL
3
Diesel
4
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. Hinsley 661 -706 -4321
CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED 4/17/2015 @ 09:00
ICC #: 8032698
SIGNATURE OF APPLICANT'" "`
DATE 418/2015
APPROVED BY
DATE 4111
FD 2095 (Rev. 09/05)