HomeMy WebLinkAboutApplication SOUTH 12-9-2020UNDERGROUND STORAGE TANKS
PERMIT NO.
y . BAK RSFIELD FIRE DEPT.
E R � 7 p Prevention Services
U njur IV " M -uxtun Ave., 1st Floor
PPPLICATION geld, CA 93301
TO PERFORM ELD / LINE TESTING 561) 326-3979
/ OX989 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 Downtown Chevron South
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 2317 L St. Bakersfield, Ca.
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
3
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES
❑ NO
TANK #
VOLUME
CONTENTS
1
87 UL
2
i
87 UL 'S
i
3
Q
91 UL 3
n
4
a
4
s
Y
!3
9
'r
F
}k
- _ TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661-706-4321
MAILING ADDRESS 4007 Brae Burn Dr. Bakersfield, Ca. 93306
Bruce W. Hinsley 661-706-4321
CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED 12/912020
ICC #: 8032698
SIGNATURE OF APPLICANT'DATE
7/13/2020
lwPIEF
APPROVED BY
DATE
FD 2095 (Rev. 09105)