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HomeMy WebLinkAboutFMC Application 5-13-21UNDERGROUND STORAGE TANKS PERMIT NO. I I rAo BAKERSFIELD FIRE DEPT. B E R S F I Prevention Services FIRM Street l� P'LiCATON :field, CA 93301 TA PERFORM ELD LINE TESTING 561) 326-3979 / 6i989 SECONDARY CONTAINMENT TESTING 561) 852-2171 /TANK TIGHTNESS TEST AND TO PERFORM FUEL MONITORING CERTIFICATION ❑ ENHANCED LEAK DETECTION F1 LINE TESTING 1:1 SB -989 SECONDARY CONTAINMENT TESTING ❑ TANK TIGHTNESS TEST X TO PERFORM FUEL MONITORING CERTIFICATION El Cathodic Protection Testing SITE INFORMATION, FACILITY SamcoUnion -FNAME & PHONE NUMBER OF CONTACT PERSON ADDRESS 10 Union Bakersfield, Ca. OWNERS NAME Same OPERATORS NAME Same PERMIT TO OPERATE NO. NUMBER OF TANKS TO BE TESTED IS PIPING GOING TO BE TESTED? 0 YES 11 NO TANK # VOLUME CONTENTS 1 87 UL 2 91 UL 3 Diesel 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 icc #: 8032698 ..9 SIGNATURE OF APPLICANT DATE 1/2012021 A P M -WRIT", APPROVED BY DATE FD 2095 (Rev. 09105)