HomeMy WebLinkAboutApplication SB989 9-2-2020_4-5UNDERGROUND STORAGE TANKS
PERMIT NO.
❑ ENHANCED LEAK DETECTION
1-1 TANK TIGHTNESS TEST
❑ UNE TESTING X SB -989 SECONDARY CONTAINMENT TESTING
TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testina
SITE INFORMATION
BAKE SFIELD FIRE DEPT,
$Prevention
Services
NAME & PHONE NUMBER. OF CONTACT PERSON
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t
ADDRESS 300 Fairview Rd. Bakersfield, Ca.
Street
PPPLICATION
;geld, CA 93301
TQ PERFORM ELD / UNE TESTING
361) 326-3979
3989 SECONDARY CONTAINMENT TESTING 1) 852-2171
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
❑ UNE TESTING X SB -989 SECONDARY CONTAINMENT TESTING
TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testina
APPROVED BY I DATE
FD 2095 (Rev. 09/05)
SITE INFORMATION
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FACILITY Fairviewrl.�ek Stop
4
NAME & PHONE NUMBER. OF CONTACT PERSON
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t
ADDRESS 300 Fairview Rd. Bakersfield, Ca.
OWNERS NAME Same
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OPERATORS NAME Sarre
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES
❑ NO
TANK #
VOLUME
CONTENTS
Diesel
F
F
f
TANK TESTINO COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley
661-706-4321
MAILING ADDRESS 4007 Brae Burn Dr Ct. Bakersfield, Ca. 93306
ff
Bruce W. Hinsley661-706-4321
CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED 9/2/2020
ICC #: 8032698
SIGNATURE OF APPLICANT";n'
.� 1 "+0 1
DATE 71'1312020
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AM, 01
APPROVED BY I DATE
FD 2095 (Rev. 09/05)