HomeMy WebLinkAboutSB989 APP 10-17-18UNDERGROUND STORAGE TANKS
BAKERSFIELD FIRE DEPT.
Prevention Services
2 101 H Street Bakersfield, CA 93301
APPLICATION Tel.: (661) 326-3979
TO PERFORM ELD I LINE TESTING Fax: (661) 852-2171
1 SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION Page 1 of I
PERMIT NO. I I
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING X SB-989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST ❑ TO PERFORM FUEL MONITORING CERTIFICATION ❑ 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 SaMe 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
7 - 7
NAME OF TESTING COMPANY Advanced Compliance Bruce W. H nsley 661-706-4321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 661-7064321 CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED icc #: 8032698
SIGNATURE OF APPLICANT DATE 9/27/2018
I APPROVED BY
DATE
t-U /-UUD (Kev. vviuo)