HomeMy WebLinkAboutFMC Application 5-11-21PERMIT No. I -_ I
El ENHANCED LEAK DETECTION 171 LINE TESTING 171 SB -989 SECONDARY CONTAINMENT TESTING
❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION EJ Cathodic Protection Testing
4ZITI= 1h11=r)PhAAT1r)M
FACILITY Rosedale Chevron NAME & PHONE NUMBER OF CONTACT PERSON
ADDRESS 9700 Rosedale Hwy . Bakersfield, Ca.
.41
OWNERS NAME Same
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
91 UL
3
Diesel
TANK TESTING COMPANY
NAME OF TESTING COMPANY Advanced Compliance
rBruce W. Hinsley 661-706-4321
MAILING ADDRESS 4007 Brae Burn Dr. Bakersfield, Ca. 93306
Bruce W. Hinsley 661-706-4321
DATE & TIME TEST TO BE CONDUCTED
CERTIFICATION #:A25212
icc #: 8032698
SIGNATURE OF APPLICANTIDATE 1120/2021 -R6?1Z 46 n1wo I
T
APPROVED BY DATE
ru zutio kmt:-.V. utnuu)