HomeMy WebLinkAboutFMC Application 6-9-21UNDERGROUND STORAGE TANKS
APPLICATION
TO PERFORM ELD/LINE TESTING/
SB989 SECONDARY CONTAINMENT
TESTING/TANK, TIGHTNESS TEST AND
FUEL MONITORING CERTIFICATION
(Please note that these are separate
individual tests and will be charged per
separate type test accordingly.)
PERMIT#
❑ ENHANCED LEAK DETECTION
TANK TIGHTNESS
❑ LINE TESTING
FUEL MONITORING CERTIFICATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 9 Fax: 661-852-2171
Page 1 of 1
El SB -989 SECONDARY CONTAINMENT
0 OVERFILL PREVENTION
SITE INFORMATION
FACILITY NAME & PHONE # OF CONTACT PERSON
WIBLE 76 NIRMAL S GILL (661) 364-4700
ADDRESS
t 3301 Wible Rd Bakersfield, CA 93309
OWNER NAME
0"InI 1A1101 9= I I (-%
OPERATOR NAME
NIRMAL S GILL
# OF TANKS TO BE TESTED:
PERMIT TO OPERATE
IS PIPING GOING TO BE TESTED? ® YES El NO
T A N K #
VOLUME
CONTENTS
127000
87
2
107000
91
10, 000
Diesel
TANK TESTING COMPANY
TESTING COMPANY
j Advanced Compliance
NAME & PHONE # OF CONTACT PERSON
Leann Hamilton 661-808-5323
1MAILING ADDRESS
4007 Brae Burn Dr Bakersfield Ca
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
,Bruce Hinsley
CERTIFICATION #
A25212
TEST METHOD
PEI RP1200-17
icc #
8032698
APPLICANT SIG TURE
DATE
A
&U
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)