HomeMy WebLinkAboutApplication 1-29-2020_4-8UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT N0. I I
❑ ENHANCEDLEAKDETECTION ❑tINETESTING
❑ TANK TIGHTNESS TEST XPERFORM FUEL
FACILITY ARCO
ADDRESS 2051 Taft Hwy. Bakersfield, Ca.
OWNERS NAME Same
OPERATORSNAME Same
1
2
3
fes. - A.„,- BAKERSFIELD FIRE DEPT.
a Prevention Services
/Irr
AR fM f 2101. H Street
Bakersfield, CA 93301
Tel.: (661).326-3979
Fax: (661) 852-2171
Page 1 of I
❑ SB -989 SECONDARY CONTAINMENTTESTING
3 CERTIFICATION ❑ Cathodic Protection Testing
IF—OR�MATION_.__ __ __.
N &PHONE NUMBER OF CONTACT PERSON
PERMIT TO OPERATE NO.
87 UL
91 UL
DIESEL
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 3704 Linlefalls Ct. Bakersfield, Ca. 93312
Brad W Hinsley 661-706-4321 CERTIFICATION B46141
DATEBTIME TEST TO BE CONDUCTED � Icctt 6373948
- _9
SIGNATURE OF APPLICANTy)p�DATE 12/23/2019
DATE
FD 2095 (Rev. 09/05)