HomeMy WebLinkAboutApplication 6-12-19_4-9UNDERGROUND STORAGE TANKS
PIN BA SFIELD FIRE DEPT.
Yi�w nem
11" B F�ID Prevention Services
`' - _ - _ -_ Street
AWPLICATION Ield CA 93301
T� PERFORM ELD / LINE TESTING 561) 326-3979
1:',7,1989 SECONDARY CONTAINMENT TESTING 561) 852-2171
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
FACILITY MING BUSINESS INC. NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 3220 MING AVE, BAKERSFEILD 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 87 UL
3 81 UL
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 ICC #: 8032698
SIGNATURE OF APPLICANT DATE 5/31/2019
APPROVED BY
DATE
FD 2095 (Kev. 09/05)