HomeMy WebLinkAboutFMC APP 9.11.19UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
RANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMRNO. D
❑ ENHANCED LEAK DETECTION 11 LINE TESTING
❑ TANKTIGKTNESSTEST XPERFORM FUE
BA Prevention FIRE DEPT.
IOf= TrentiOII SelVICCB
Af/f 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page f of f
❑ SB- 989SECONCARY CONTAINMENT TESTING
❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY Sullivans Calloway NAME 8 PHONE NUMBER OF CONTACT PERSON
ADDRESS 9709 Olive Dr Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? D YES D NO
TANK
V LU
.TENTS
1
87 UL
2
91 UL
3
DIESEL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661- 706-4321
MAILING ADDRESS 3704 Liftlefalls CL Bakersfield, Ca. 93312
Brad W. Hinsley 661- 706 -4321
CERTIFICATION #: B46141
DATE 5 TIME TEST TO BE CONDUCTED 911812019 8:00
Icc #: 8373948
SIGNATURE OF APPLICANT
DATE 6/2512019
APPROVED BY
DATE
FD 2096 (Rev. 09105)