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HomeMy WebLinkAboutAPPLICATION SB989 2-10-21UNDERGROUND STORAGE TANKS PERMIT No. I I BAKERSFIELD FIRE DEPT. Prevention Services 2101 H st Bakersfield, CA 93301 Tel.: (661) 326-3911 Fax: (661) 852-2171 Page 1 of 1 ❑ ENHANCED LEAK DETECTION El LINE TESTING X SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST 171 TO PERFORM 1=1 IR MnNITORM-4 (-.F:RT1F1rAT10KJ n rtnthnrlin Prnfimnfinn Ttzqtinn I APPROVED BY 1 DATE i FD 2095 (Rev. 09/05) SITE INFORMATION FACILITY Panama Colony Shell ADDRESS 2300 Panama Ln Bakersfield, Ca. OWNERS NAME Same NAME & PHONE NUMBER OF CONTACT PERSON OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? 11 YES 11 NO TANK # VOLUME CONTENTS 1 87 UL 2 Diesel 3 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 Bruce W. Hinsley 661-706-4321 CERTIFICATION #: A25212 DATE & TIME TEST TO BE CONDUCTED 21912021 8:00am icc #: 8032698 SIGNATURE OF APPLICANT DATE 1/1812021 M —A PIE-Ru"T I APPROVED BY 1 DATE i FD 2095 (Rev. 09/05)