HomeMy WebLinkAboutUST-APPL 5/23/2014UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
Page 1 of 1
PERMIT NO. 0 z_ G'
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
1 1 TA kite TR'- WTAIFCC TFCT X TO P1ZRP(1RM FI IFI RAnNITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY ARCO
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2800 Panama Lane 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
87 UL
4
91 UL
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
I= #: 8032698
SIGNATURE OF APPLICANT -
DATE 5123/2014
DATE 5 3v
APPROVED BY
ry zuwu kr[CV. Vv /VJJ