HomeMy WebLinkAboutFMC APP 12.5.19UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD !LINE TESTING
I SB989 SECONDARY CONTAINMENT TESTING
(TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
CI TANK TICHTNFSfi TFST XTO PERFORM FUEI
❑ Cathode Protection Testing
SITE INFORMATION
BAKERSFIELD FIRE DEPT.
°
MRTN
Prevention Services
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
2101 H Street
IS-PIPING GOING TO BE TESTED'! ❑ YES
Bakersfield, CA 93301
TANK #
Tel.: (661) 326 -3979
_
Fax: (661) 852 -2171
1
Page i of 1
38-989 SECONDARY CONTAINMENT TESTING
❑ Cathode Protection Testing
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SITE INFORMATION
FACILITY Sam's Liquor and Gas
I
NAME 8 PHONE NUMBER OF CONTACT PERSON
_
ADDRESS 801 E California Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS-PIPING GOING TO BE TESTED'! ❑ YES
❑ NO
TANK #
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 Littlefalls Ct. Bakersfield, Ca. 93312',
Bruce W. Hinsley 661 - 706 -4321
CERTIFICATION #, A25212
DATE 8 TIME TEST TO BE CONDUCTED
ec #- 6032698
SIGNATURE OF APPLICANT
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DATE 11/27/2019
11111111111 1111111114,11111:1§,11
1
OAT,
APPROVEDBY
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