HomeMy WebLinkAboutApplication 1-14-21UNDERGROUND STORAGE TANKS,M
BAK ERSFIELD FIRE DEPT.
B
E R s Prevention Services
--Street
PPLIC TIO Meld, CA 93301
T,,.: PERFORM ELD I LINE TESTING 561)326-3979
/ .1 3989 SECONDARY CONTAINMENT TESTING 36 1) 852-2171
/TANK TIGHTNESS TEST AND TO PERFORM
FUEL MONITORING CERTIFICATION
PERMIT NO.
D ENHANCED LEAK DETECTION F1 LINE TESTING
Q TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION
El SB -989 SECONDARY CONTAINMENT TESTING
❑ Cathodic Protection Testing
SITE INFORMATION
_ _ _
__ �� __NAME & PHONE NUMBER OF CONTACT PERSON
FACILITY CALIFORNIA MINI MART
ADDRESS 1129 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?
❑ YES 11 NO
TANK VOLUME
CONTENTS
87 UL
2
3
87 UL
91 UL
4
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance Bruce W. Hinsley 661-706-4321
1 MAILING ADDRESS 4007 Brae Burn Dr Bakersfield, Ca. 93306
I Bruce W. Hinsley 661-706-4321 !CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED icc #: 8032698
SIGNATURE OF APPLICANT DATE 11111/2020
APPROVED BY DATE
FD 2095 (Rev. 09/05)