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HomeMy WebLinkAbout989 APP 9-20-18UNDERGROUND STORAGE TANKS r.111:2:2 I MI, TO PERFORM ELD / LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. B BRSFI' D MRAW — %.. ARfJlI r BAKERSi' IELD FIRE DEPT. Prevention Services 1501 Truxtun Ave., 1S1 Floor Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 ❑- ENHANCED LEAK DETECTION ❑ LINE TESTING X SB -989 SECONDARY CONTAINMENT TESTING 1 1 TAK1V T1/-- WTA1CCC TGCT n Tr) PFRF(1RM F1 IFI MONITORIN(l. CFRTIFICATION ❑ Cathodic Protection Testina SITE INFORMATION FACILITY White Lane Chevron NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 2525 White 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 91 UL 3 Diesel TANK TESTING COMPANY NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsle 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 DATE 8/28/2018 APPROVED BY DATE ru cuya kmuv. uwivu)