HomeMy WebLinkAboutApplication 11-15-19_4-10UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
)TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMITNO.
❑ ENHANCED LEAK DETECTION
❑ TANKTIGHTNESSTEST
❑ LINETESTING
X TO PERFORM. FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
— —
SITE INFORMATION.
®..._
BAKERSFIELD FIRE DEPT.
9 e r P °
Prevention Services
F1RL
AR7d f
2101 H Street
OWNERS NAME Same
Bakersfield, CA 93301
OPERATORSNAME Same PERMIT TO OPERATE NO.
Tel.: (661) 326-3979
NUMBER OFTANKS TO BE TESTED IG PIPING GOING TO TESTED? _ tD VES ❑
Fax: (661) 852-2171
TANK# --_ ... VOLUME. _. _—__� —_ COKTENTS
Page 1 of 1
❑ S&989 SECONDARY CONTAINMENTTESTING
X TO PERFORM. FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
— —
SITE INFORMATION.
__
NAME &PHONE NUMBER OF CONTACT PERSON
FACILITY Lucky 7 #H
--_J
—
ADDRESS 2601 S. Chester Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORSNAME Same PERMIT TO OPERATE NO.
NUMBER OFTANKS TO BE TESTED IG PIPING GOING TO TESTED? _ tD VES ❑
TANK# --_ ... VOLUME. _. _—__� —_ COKTENTS
1 87 UL
---I
2 91 UL
__.______— _1
I
TANK TESTING COMPANY
Bruce W ley 661706-4321
ia-I- Hinsley -
OF TESTING COMPANY Advanced Compince
OMP
NAME an
_ --- - -
MAILING ADDRESS 3704 Llttlefalls Cf. Bakersfield Ca 93312
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.—1 —
Bruce W Hmsley 661-706-4321 A25212
1111
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DATE &TIME TEST TO BE CONDUCTED ICC # 6032696
too
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SIGNATURE OF APPLICANT �-,( �A� ���. DATE 11/4/2019
DATE
APPROVED BV
FD 2095 (Rev. 09/05)