HomeMy WebLinkAboutApplication 3-2-2020_4-9UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
I SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
❑ ENHANCED LEAK DETECTION UNETESTING
❑ TANK TIGHTNESS TEST X TO PERFORM I
FACILITY Sullivans
ADDRESS 4833 Buena Vista. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
NUMBER OF TANKS TO BE TF
TANK #_. _._.
1
2
❑ S&989 SECONDARY CONTAIN
:ERTIFICATION ❑ Cath.dic PU0teCf0n Testim
MATION _____
NAME & PHONE NUM9ER OF CONTACT PERSON
PERMIT TO OPERATE NO.
!Di ❑ YES ❑.. NO
CONTENI
87 UL
91 UL
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 3704 Liftlefalls Ct. Bakersfield, Ca. 93312
Brad W. Hinsley 661-706-4321 CERTIFICATION#: B46141
DATE B TIME TEST TO BE CONDUCTED I Icc#:8373948
SIGNATURE OF APPLICANT
DATE 1212312019
09105)
f
BAKERSFIELD FIRE DEPT.
K177.7 -&—D
" s "' °
Preventious rvices
MRIf
'ARTMAVII
1501 Truxtun Ave., 1- Floor
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
Page 1 of 1
❑ S&989 SECONDARY CONTAIN
:ERTIFICATION ❑ Cath.dic PU0teCf0n Testim
MATION _____
NAME & PHONE NUM9ER OF CONTACT PERSON
PERMIT TO OPERATE NO.
!Di ❑ YES ❑.. NO
CONTENI
87 UL
91 UL
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 3704 Liftlefalls Ct. Bakersfield, Ca. 93312
Brad W. Hinsley 661-706-4321 CERTIFICATION#: B46141
DATE B TIME TEST TO BE CONDUCTED I Icc#:8373948
SIGNATURE OF APPLICANT
DATE 1212312019
09105)