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HomeMy WebLinkAboutFMC Application 2-26-21PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 171 SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing SITE IIVFt}RMATION FACILITY Sat1lC0 CaliforniaNAME 1 � & PHONE NUMBER OF CONTACT PERSON UNDERGROUND STORAGE TANKS F�r r k . G r BAK"S FIELD FIRE DEPT. $ ' DPrevention Services FIRE Street liPPLICATION :field, CA 93301 T° PERFORM ELD / LINE TESTING -)61) 326-3979 / ;;;;;;3989 SECONDARY CONTAINMENT TESTING 561) 852-2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION NUMBER OF TANKS TO BE TESTED PERMIT NO. ❑ ENHANCED LEAK DETECTION ❑ LINE TESTING 171 SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing SITE IIVFt}RMATION FACILITY Sat1lC0 CaliforniaNAME 1 � & PHONE NUMBER OF CONTACT PERSON DREss 4100 California Ave. Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GE OING TO BE TESTED? ❑ YES ❑ NO TANK # VOLUME CONTENTS 1 87 UL 2 3 87 UL 87 UL 4 91 UL 5 Diesel 3 i 3 Y 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 681-706-4321 CERTIFICATION #: B46141 DATE & TIME TEST TO BE CONDUCTED 2/15/2021 8.00am ICC #: 8373948 k z x SIGNATURE OF APPLICANT DATE 1/18/2021 8 E 1R0 .E ��F A P ; ft -1 I T T - I k I ' � k l i t Y APPROVED BY DATE S ry GVVJ tixcv. v-J/v.l)