HomeMy WebLinkAboutUST APPUNDERGROUND STORAGE TANKS
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
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
1-1 YAKILe rift -WTK G(ZC TGeT X Tr) PFRFf1RM FI IFI UnNITORINr, r:FRTIFICATION ❑ cathodic Protection Testina
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SITE INFORMATION
FACILITY Beale Monterey
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 900 Monterey 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
2
87 UL
3
91 UL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661 - 706 -4321
MAILING ADDRESS 3704 Littlefalis Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 661 - 706 -4321
CERTIFICATION #: A25212
DATE & TIME TEST TO BE CONDUCTED
ICC #: 8032698
SIGNATURE OF APPLICANT
DATE 51412015
APPROM
APPROVED BY
I DATE
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