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HomeMy WebLinkAboutApplication SB989 12-8-2020UNDERGROUND STORAGE TANKS PERMIT NO. I I BAKERSFIELD FIRE DEPT. B R I 33FiRjr Prevention Services Street PPPLICATION :geld, CA 93301 Td% PERFORM ELD / LINE TESTING -61) 326-3979 / 6Y 989 SECONDARY CONTAINMENT TESTING /TANK TIGHTNESS TEST AND TO PERFORM 561) 852-2171 FUEL MONITORING CERTIFICATION ENHANCED LEAK DETECTION ❑ LINE TESTING X SB -989 SECONDARY CONTAINMENT TESTING © TANK TIGHTNESS TEST © TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing SITE, INFORMATION } FACILITY Panama Buena Vista Union School District NAME &PHONE NUMBER OF CONTACT PERSON ADDRESS 4200 Ashe Road Bakersfield, Ca. a OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO TANK #/ 2 VOLUME CONTENTS 87 UL 87 UL e 3 3 91 UL t E E' f { .: 1 ANK, TESTING COMPANY NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321 MAILING ADDRESS 4007 Brae Burn Dr Bakersfield, Ca. 93306 t 3 Bruce W. Hinsley 661-706-4321 CERTIFICATION #:A25212 i F g E S DATE & TIME TEST TO BE CONDUCTED 1111812020 ICC #: 8032698 �` T SIGNATURE OF APPLICANA 1 r , 1 DATE 7/1312020 � I I WS APPROVED BY DATE FD 2095 (Rear. 09/05)