HomeMy WebLinkAboutFMC APP 2.27.19UNDERGROUND STORAGE TANKS
Ul 2 all DEN 9 M k'
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. I I
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB-989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
FACILITY Lucky 7 #3 NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 726 S. Union Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMIT TO OPERATE NO.
I NUMBER OF TANKS TO BE TESTED I IS PIPING GOINGTO BE TESTED? U YES LJ NO I
I
2
3
87 UL
91 UL
Diesel
NAME OF TESTING COMPANY Advanced Compliance I 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, DATE 12/6/2018
I APPROVED BY I DATE I
I'D ZU95 (Kev. u!j/ub)
=A
6 2
P..E
BAKERSFIELD FIRE DEPT.
B3 R, S F I D
Prevention Services
R r
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
PERMIT NO. I I
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB-989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
FACILITY Lucky 7 #3 NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 726 S. Union Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMIT TO OPERATE NO.
I NUMBER OF TANKS TO BE TESTED I IS PIPING GOINGTO BE TESTED? U YES LJ NO I
I
2
3
87 UL
91 UL
Diesel
NAME OF TESTING COMPANY Advanced Compliance I 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, DATE 12/6/2018
I APPROVED BY I DATE I
I'D ZU95 (Kev. u!j/ub)