HomeMy WebLinkAboutFMC APP 2018UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. I
El ENHANCED LEAK DETECTION
I—I T kfj/ -rcor
❑ LINE TESTING
B3 4.E R S F 1 0 D
FINN
T
BAKERSFIELD FIRE DEPT.
Prevention Services
1501 Truxtun Ave., 1St Floor
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
❑ SB-989 SECONDARY CONTAINMENT TESTING
Y -M Dt=Drr)PrA P1 IPI KAMJITORINr4 rF=RT11=1rAT10N ❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY Sully's (Olive Drive @ Calloway)
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 9709 Olive Dr. 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
87 UL
2
91 UL
3
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hensley 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 A.-
I —rim,
APPROVED BY
DATE 8/2012018
- WIN AP,
DATE