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HomeMy WebLinkAboutApplication 6-28-19 FMC_4-9UNDERGROUND STORAGE TANKS f F7 F- 87 UL BAKERSFIELD FIRE DEPS'. B E R S P I D Prevention Services 3 uxtun Ave., 1st Floor PPLICATION T PERFORM ELD / LINE TESTING Geld, CA 93301 561) 326-3979 Used Oil 1 X8989 SECONDARY CONTAINMENT TESTING 561) 852-2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 0SB-989 SECONDARY CONTAINMENT TESTING U TANK TIGHTNESS TEST A TO PERFORM FUEL MONITORING CERTIFICATION U Latnoaic Protection i esting Icnonne FACILITY The Spot Food Mart #2 NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 3699 Wilson Rd 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 1 87 UL 2 91 UL 3 Diesel 4 Used Oil 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 %�la..- DATE 5131/2019 APPROVED BY DATE I -L) Zu110 kKev. uv/vo)