HomeMy WebLinkAboutApplication 12-18-19_4-7UNDERGROUND STORAGE TANKS BAKERSFIEyL�D FIRE DEPT.
B_ HB9P] P Prevention Services
fiPPLICATION veAve., Floor
fielld,d, C CA 933011
T"x PERFORM ELD I LINE TESTING 561)326-3979
!:'13989 SECONDARY CONTAINMENT TESTING 561) 852-2171
RANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. D
❑ ENHANCED LEAK DETECTION
Fl
❑ LINETESTING
X TO PERFORM FUEL
❑ SB -989 SECONDARY CONTAINMENTTESTING
❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY SAMCO NAME & PHONENUM1ID R OF CONTACT PERSON
ADDRESS 3300 White Lane Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMITTO OPERATE NO.
NUMBER OF TANKS TO BE TESTED _—
._._ -LANKM
IS PIPING GOING TO Be TESTED?--_
_VOL!!_p]E_ ___.—_
O YES
,____--
NCL--
_ �QN_T_ENTS
__—_
1
87 UL
—__2 _
91 UL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsloy 691-706-4321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 691-709-4321 CERTIFICATION N'. A2SZIZ
--_._...—_._— __.._--_
I DATE WINE TEST TO BE CONDUCTED 12119/2919 99:99 Icc a: 6032698
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I SIGNATURE OF APPLICANT—�----�DATE 7/25/20'19
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APPROVED BV GATE
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