HomeMy WebLinkAboutFMC Application 4-1-21PERMIT NO.
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
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FACILITY OLIVE REFRESH NAME & PHONE NUMBER OF CONTACT PERSON
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UNDERGROUND STORAGE TANKS ,��-n,a _
' S F IPrevention
BAKE RSFTELD FIS" DEPT,
Services
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dun Ave., lst Floor
11PPLICATIOn
:field, CA 93301
Ti ' PERFORIN ELD 1 LINE TESTING
561) 326-3979
/ .^.;,'.8989 SECONDARY CONTAINMENT TESTING 361) 852-2171
/TANK TIGHTNESS TEST AND TO PERFORIN
FUEL MONITORING CERTIFICATION
TANK #
PERMIT NO.
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING
❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
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FACILITY OLIVE REFRESH NAME & PHONE NUMBER OF CONTACT PERSON
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ADDRESS 11212 Olive Dr, Bakersfield 93312
OWNERS NAME Same
PERMIT TO OPERATE NO,
OPERATORS NAME Sarre
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK #
VOLUME CONTENTS
1
87
2
91
3
Diesel
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f
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E
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 881706-4321
MAILING ADDRESS 4007 Brae Burn Dr Bakersfield, Ca. 93306
Bruce W. Hinsley 661-706-4321 CERTIFICATION #:A25212
DATE & TIME TEST TO BE CONDUCTED ICC #: 8032698
SIGNATURE OF APPLICANT °' DATE 112012021
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APPROVED BY
FD 2095 (Rev. 09/05)