HomeMy WebLinkAboutFMC APP 12.17.19UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
1 SB989 SECONDARY CONTAINMENT TESTING
ITANK TIGHTNESS TEST AND ✓ERFORM
F ULL MUNI I UHING CLH I IFICA I ION
PERMIT NO
❑ ENHANCED LEAK DETECTION
❑ TANKTIGHTNESS TEST
❑ LINE TESTING
BAKERSFIELD FIRE DEPT.
Prevention Services
/&rs 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Page I N i
❑ Se989 SECONDARY CONTAINMENTTESTING
X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic PaAectiDD Tesfino
SITE INFORMATION
FACILITY Sully's Stockdale
NAME A PHONE NUMBER OF CONTACT PERSON
ADDRESS 250 Coffee Rd Bakersfield, Ca.
OMERSNAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO,
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK IS
VOLUME
CONTENTS
1
87 UL
2
91 UL
3
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinslay 661- 706 -4321
MAILING ADDRESS 3704 Littlefails Ct. Bakersfield, Ca. 93312
Bruce W. Hinsley 661 - 7061321
CERTIFICATION B; A25212
DATE S TIME TEST TO BE CONDUCTED
- 6032696
SIGNATURE OF APPLICANT
DATE 1 11512 0 1 9
APPROVED BY
DATE
FO 2095 (Rev. 09105)