HomeMy WebLinkAboutApplication 9-8-2020_4-7UNDERGROUND STORAGE TANKS
PERMIT NO.
� " F BA KE'T'
RSFIELD FIRE DEP.
'I Prevention Services
IN ---- - ;-uxtun Ave., 1 st Floor
APPLICATION :ielct, CA 93301
V1 PERFORM ELD / LINE TESTING j61) 326-3979
/ : - 989 SECONDARY CONTAINMENT TESTING 561) 852-2171
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
SITE INFORMATION
FACILITY Sully's Chevron
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 9709 Olive Dr. Bakersfield Ca.
OWNERS NAME Same
{
s
F
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED?
❑ YES
❑ NO
TANK #
VOLUME
CONTENTS
1
87 UL
2
91 UL
3
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
p
Bruce W. Hinsley 66'1-706-4321
y
/MAILING ADDRESS 4007 Brae Burn Dr. Bakersfield, Ca. 93306
x
3
Bruce W. Hinsley 661-706-4321
CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED 9/8/2020
ICC #: 8032698
SIGNATURE OF APPLICANT ;a
T--
DATE 7/13/2020
3
APPROVED BY
DATE
S
FD 2095 (Rev. 09/05)