HomeMy WebLinkAboutFMC APP 12.20.18UNDERGROUND STORAGE TANKS
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
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❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK T1rHTNFSS TF_ST x TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY SAMCO
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 3300 White Lane Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? 0 YES Q NO
TANK #
VOLUME
CONTENTS
1
87 UL
2
91 UL
TANK 'TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce 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 12/2812017 08:00
ICC #: 8032698
SIGNATURE OF APPLICANT
DATE 611312018
APPROVED BY DATE
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