HomeMy WebLinkAboutFMC Application 4-7-21PERMIT NO. C
❑ ENHANCED LEAK DETECTION ❑ LINE TESTING ❑ SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION ❑ Cathodic Protection Testing
.RITE WIMRMATION
FACILITY Panama Buena Vista Union School District
NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 4200 Ashe Road Bakersfield, Ca.
E
OWNERS NAME Same
OPERATORS NAME Same
PERMIT TO OPERATE NO.
NUMBER OF TANKS TO BE TESTED
IS PIPING GOING TO BE TESTED? ❑ YES ❑ NO
TANK _#_
1
_.._._. -� � 0 L UM E
87 UL
2
87 UL
3
E
91 UL
E
i
i
3
i
3
Y
3 F
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
Bruce W. Hinsley 661-706-4321
f
MAILING ADDRESS 4007 Brae Burn Dr Bakersfield, Ca. 93306
E
Bruce W. Hinsley 661-706-4321
CERTIFICATION #:A25212 z
DATE & TIME TEST TO BE CONDUCTED
ICC #: 8032698
4
SIGNATURE OF APPLICANT DATE 1/20/2021
3 "M
APPROVED BY
DATE
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