HomeMy WebLinkAboutFMC APP 9-27-18UNDERGROUND STORAGE TANKS
R BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street Bakersfield, CA 93301
APPLICATION
Tel.: (661) 326-3979
TO PERFORM ELD I LINE TESTING
Fax: (661) 852-2171
SB989 SECONDARY CONTAINMENT TESTING M'
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION Page 1 of 1
PERMIT NO. I I
1:1 ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB-989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION 1:1 Cathodic Protection Testing -
FACILITY VG Mini Mart NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 6501 S. Union Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Sable PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
1 87 UL
2 91 UL
3 Diesel
TANK TESTING COMPANY.-
W
NAME OF TESTING COMPANY Advanced Compliance Bruce . 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
__ fjv, DATE 8/28/2018
APPROVED BY I DATE I
FD 2095 (Rev. 09/05)