HomeMy WebLinkAboutSB989 APP 8.12.19UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
RANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTFICATION
PERMIT NO.
❑ ENHANCED LEAK DETECTION
❑ TANKTIGHTNESSTEST
❑ LINE TESTING
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
AA Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page I W 1
X SBa8e SECONDARY CONTAINMENT TESTING
❑PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY ARCO NAME 8 PHONE NUMBER OF CONTACT PERSON
ADDRESS 2051 Taft Hwy. Bakersfield, Ca.
OWNERS NAME Sarre
OPERATORS "ME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? D YES ❑ NO
TANK 0
VOLUME
CONTENTS
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 LKtlefails Ct. Bakersfield, Ca. 93312
Brad W. Hinsley 661 - 706-4321
CERTIFICATION#: B46141
DATE 6 TIME TEST TO BE CONDUCTED 8-13.2019&8-14-2019 8:00
Icc #: 8373948
SIGNATURE OF APPLICANT �L'
DATE 612512019
APPROVED BY
DATE
FD 2095 (Rev. 09/05)