HomeMy WebLinkAboutApplication 10-23-2020_4-8UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD I LINE TESTING
/ SB989 SECONDARY CONTAINMENT TESTING
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
Q ENHANCED LEAK DETECTION ❑ LINE TESTING
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Q SB -989 SECONDARY CONTAINMENT TESTING
LJ TANK TIGHTNESS TEST TO PERFORM FUEL MONITORING CERTIFICATION U Cathodic Protection Testing
SITE. INFORMATION
FACILITY Minit Stop NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2900 Union Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? CI YES Q NO
TANK # VOLUME CONTENTS
1 87 UL
2 91 UL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 4007 Brae Burn Dr. Bakersfield, Ca. 93306
Brad W. Hinsley 661-706-4321 CERTIFICATION #:B46141
DATE & TIME TEST TO BE CONDUCTED ICC #: 8373948
SIGNATURE OF APPLICANT DATE 911812020
ME
APPROVED BY DATE
FD 2095 (Rev_ 99195)
� AIMFIELD FI DEPT.
' S I DFIRS
Prevention Services
2101 H Street
Bakersfield, Cly 93301
Tel.: (+661) 326-3979
.Fax: (661) 852-2171
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Q SB -989 SECONDARY CONTAINMENT TESTING
LJ TANK TIGHTNESS TEST TO PERFORM FUEL MONITORING CERTIFICATION U Cathodic Protection Testing
SITE. INFORMATION
FACILITY Minit Stop NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2900 Union Ave. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? CI YES Q NO
TANK # VOLUME CONTENTS
1 87 UL
2 91 UL
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 4007 Brae Burn Dr. Bakersfield, Ca. 93306
Brad W. Hinsley 661-706-4321 CERTIFICATION #:B46141
DATE & TIME TEST TO BE CONDUCTED ICC #: 8373948
SIGNATURE OF APPLICANT DATE 911812020
ME
APPROVED BY DATE
FD 2095 (Rev_ 99195)