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HomeMy WebLinkAboutFMC APP 8.14.19UNDERGROUND STORAGE TANKS PERMIT NO. D BAKERSFIELD FIRE DEPT. a R /ff D Prevention Services - "- -- Street A PPLICATION field, CA 93301 P PERFORM ELD I LINE TESTING 561) 326 -3979 1: 9989 SECONDARY CONTAINMENT TESTING 561) 852 -2171 )TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION ❑ ENHANCEDLEAKOETECTON ❑ LINETESTING 11 SB -989 SECONDARY CONTAINMENT TESTING ❑ TANKTIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic PrDtedion Tee5r19 FD 2095 (Rev. 09105) SITE INFORMATION FACILITY GASCO NAME & PHONE NUMBER OF CONTACT PERSON ADDRESS a E. California Ave. Bakersfield, Ca. OWNERSNAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? D YES D NO 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 CIL Bakersfield, Ca. 93312 Bruce W. Hinsley 661- 706 -4321 CERTIFICATION* A25212 DATE S TIME TEST TO BE CONDUCTED ICC S: 81)32696 SIGNATURE OF APPLICANT y„ DATE 910712019 APPROVED BY DATE FD 2095 (Rev. 09105)