HomeMy WebLinkAboutApplication 2-13-2020_4-9UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD / LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO. I I
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ TANK TIGHTNESS TEST RPERFORM FUE
FACILITY Chevron
ADDRESS 1125 Coffee Road Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
1
2
3
A BAKERSFIELD FIRE DEPT.
MAC>, A' Y r V Preeention Services
FfR!
ARTY r 2101 H Street
Bakersfield,. CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENTTESTING
3 CERTIFICATION ❑ Cathodic PrOtedon Testing
I_FORMATION_ __
NAME 8_PHONE NUMBER OF CONTACT PERSON
PERMIT TO OPERATE NO,
87 UL
87 LL
91 UL
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-7064321
MAILING ADDRESS 3704 Littlefalls Ct. Bakersfield, Ca. 93312
Brad W Hinsley 6617064321 - ERnFlcnnory # 846141 _
DATE S TIME TEST TO RE CONDUCTED ICC# 8373948
SIGNATURE OF APPLICANT [/���� �- DATE 12/23/2019
APPROVED BY
-- FD 2095 (Rev. 09/05)