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HomeMy WebLinkAboutApplication 8-27-19 V_4-5UNDERGROUND STORAGE TANKS TO PERFORM ELD 1 LINE TESTING / SB989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION PERMIT NO. I 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 X SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNFSS TEST ❑ Tn PFRFnRM FI )FI MnNITnRwn. CFRTIFIC:ATInN 171 rnthnrlir_ Pmtarttinn Tactinn SITE INFORMATION FACILITY District Valero NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 4600 Stine 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 TANK # VOLUME CONTENTS 1 87 UL 2 87 UL 3 91 UL TANK TESTING COMPANY 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 8/28/2019 8:00am ICC #: 8032698 SIGNATURE OF APPLICANT DATE 7/0312019 TTM M-PUC� T-11100, SOME& A PERM A P -PROVER APPROVED BY DATE FD 2095 (Rev. 09/05)