HomeMy WebLinkAboutFMC APP 8-28-18UNDERGROUND STORAGE TANKS
5
PERMIT #
I $a. r..
B V D
-
T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661 - 326 -3979 . Fax: 661 -852 -2171
Page 1 of 1
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT
❑ TANK TIGHTNESS R FUEL MONITORING CERTIFICATION
SITE INFORMATION
FACILITY
Circle K/ Mobil 113assam
NAME & PHONE # OF CONTACT PERSON
805 - 217 -0610
ADDRESS
2601 White Lane, Bakersfield, CA 93304
OWNER NAME
Proactive Properties, Inc.
OPERATOR NAME
Bassam
PERMIT TO OPERATE #
# OF TANKS TO BE TESTED:
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME
CONTENTS
1
12000
87
2
12000
91
3
12000
DSL
TANK TESTING COMPANY
TESTING COMPANY
Confidence UST Services [Mel
NAME & PHONE # OF CONTACT PERSON
Bolton 661 - 631 -3780
MAILING ADDRESS
16250 Meacham Road, Bakersfield, CA 93314
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Aaron Perrigo 661- 304 -2913
CERTIFICATION #
B47853
DATE & TIME TEST TO BE CONDUCTED
08/ 9:00 am
ICC #
8485827
TEST METHOD
1,16 IG URE
DATE
07/06/2018
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 12/15)