HomeMy WebLinkAboutLINE TEST APP 7-30-18UNDERGROUND STORAGE TANKS
B A B R 3 F i D
SIRS
ARTJN, IT
Eel ►
TO PERFORM ELD d LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
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❑ ENHANCED LEAK DETECTION X LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST ❑ TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION <"
FACILITY Mike's Food & Liquor
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2300 Panama Ln. 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
91 UL
3
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
Icc #: 8032698
- SteNATURE OF APPLICANT . �
DATE 7/27/2018
APPROVED BY DATE
FD 2095 (Rev. 09/05)