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HomeMy WebLinkAbout3220 MING FMC APP 8.10.15UNDERGROUND STORAGE TANKS APPLICATION TO PERFORM ELD / LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. — � � 4 C 2;. BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 Page 1 of 1 ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST x TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testina SITE INFORMATION'. FACILITY ARCO NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 3220 Ming Ave. Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Sa a 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 TANK TESTING COMPANY -7 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 7/31/2015 APPROVED BY DATE?- FD 2095 (Rev. 09105)