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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)