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HomeMy WebLinkAboutFMC APP 1.21.19FACILITY CALIFORNIA MINI MART NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 1129 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 TANK # VOLUME CONTENTS 1 87 UL 2 87 UL 3 91 UL 4 Diesel NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 861- 706 -4321 MAILING ADDRESS 3704 Littlefalls Ct, Bakersfield, Ca. 93312 Brad W. Hinsley 661 -706 -4321 CERTIFICATION #:B46141 DATE & TIME TEST TO BE CONDUCTED ICC #: 8373948 SIGNATURE OF APPLICANT _ 9 -7 L _ ° DATE 12/512018 APPROVED BY I DATE FD 2095 (Rev. 09/05) UNDERGROUND STORAGE TANKS BAKERSFIELID FIRE DEPT. B B B 8 F I D Prevention Services ' t T 2101 H Street APPLICATION Bakersfield, CA 93301 TO PERFORM ELD / LINE TESTING Tel.: (661) 326 -3979 / SB989 SECONDARY CONTAINMENT TESTING Fax: (661) 852 -2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION Page 1 of 1 PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ S13-989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST x TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing FACILITY CALIFORNIA MINI MART NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 1129 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 TANK # VOLUME CONTENTS 1 87 UL 2 87 UL 3 91 UL 4 Diesel NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 861- 706 -4321 MAILING ADDRESS 3704 Littlefalls Ct, Bakersfield, Ca. 93312 Brad W. Hinsley 661 -706 -4321 CERTIFICATION #:B46141 DATE & TIME TEST TO BE CONDUCTED ICC #: 8373948 SIGNATURE OF APPLICANT _ 9 -7 L _ ° DATE 12/512018 APPROVED BY I DATE FD 2095 (Rev. 09/05)