HomeMy WebLinkAboutFMC APP 2.14.19UNDERGROUND STORAGE TANKS
AKERSFIELD FIRE DEPT.
B EX S F I „`may Prevention Services
x A R rmirgy 2101 H Street
APPLICATIO N 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
❑ TANK TIGHTNESS TEST x PERFORM FUEL MONITORING CERTIFICATION
❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ Cathodic Protection Testing
FACILITY Chevron NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 1125 Coffee Road 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
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661 -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 L�..- ��?s.�..T DATE 12/5/2018
APPROVED BY
DATE
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