HomeMy WebLinkAboutFMC APP 10-8-18UNDERGROUND STORAGE TANKS
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
❑ ENHANCED LEAK DETECTION
❑ TANK TIGHTNESS TEST
r:
F .ERSFI D
❑ LINE TESTING
X TO PERFORM FUEL MONITORING CERTIFICATION
AKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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❑ SB-989 SECONDARY CONTAINMENT TESTING
❑ Cathodic Protection Testinq
SITE :INFORMATION
FACILITY Lucky 7 #8
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2601 S. Chester Ave. 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
TANK TESTING `COMPANY
NAME OF TESTING COMPANY Advanced Compliance
FBruce 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
DATE 8/28/2018
TM APPLAMIM 4hpom- MINIM
APPROVED BY DATE
FD 2095 (Rev. 09/05)