HomeMy WebLinkAboutApplication 2-24-2020_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.
❑ ENHANCED LEAKDETECTION ❑ LINETESTING
n TA NK TII:HTNFRSTFST RTO PERFORM
FACILITY Lucky 7 #3
ADDRESS 726 S. Union Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORSNAME Same
1
2
3
—. BAKERSFIELD FIRE DEPT.
Prevention Services
L
ARTNF7R: 2101 H Street
400. Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661)852-2171
Page 1 of 1
❑ 58-989 SECONDARY CONTAINMENT TESIHNG
ING CERTIFICATION_ ❑ Cathodic Pmtectian Testing
IFORMATION,
NAME 8 PHONE NUMBER OF CONTACT PERSON
—
PERMIT TO OPERATE NO
EST,ED7_ 0_YES ___„0 NO________
pE_, � CQNTEN_T_S
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
DATE & TIME TEST TO BE CONDUCTED Icc a_ 8373948
SIGNATURE OF
DATE 12/23/2019
BY
DATE
FD 2095 (Rev, 09/05)