HomeMy WebLinkAboutUST-APPL 7/13/2015UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
I SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
130 _
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 171 SB-989 SECONDARY CONTAINMENT TESTING
-rAK1V"r1f1-JJTK1=QQ TC:4ZT Tr) PP:P[=OPrA P1 IPI RAONJITORIMr, r.F=RT1F1(-AT10N ❑ Cathodic Protection Testina
SITE INFORMATION
FACILITY ARCO
e qW
BAKERSFIELD FIRE DEPT.
$ P D
Prevention Services
PERMIT TO OPERATE NO.
FIRE
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
R
1501 Truxtun Ave., 1St Floor
01
Bakersfield, CA 93301
Tel.: (661) 326-3979
2
Fax: (661) 852-2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 171 SB-989 SECONDARY CONTAINMENT TESTING
-rAK1V"r1f1-JJTK1=QQ TC:4ZT Tr) PP:P[=OPrA P1 IPI RAONJITORIMr, r.F=RT1F1(-AT10N ❑ Cathodic Protection Testina
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
icc #: 8032698
SIGNATURE OF APPLICANT c..
DATE 7113/2015
A MAW Va"-
APPROVED BY 4 DATE
rLd 4vzlu krxcv. VV1V'jj