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HomeMy WebLinkAboutFMC Application 6-14-21UNDERGROUND 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 nN FUEL MONITORING CERTIFICATION BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield., CA 93301 Phone: 661-326-3979 • Fax: 661-852-2171 Page 1 of 1 ❑ SB -989 SECONDARY CONTAINMENT ❑ OVERFILL PREVENTION SITE INFORMATION FACILITY NAME & PHONE # OF CONTACT PERSON Valley Plaza ARCO DINESH SHARDA (661) 3.98-0303 ADDRESS 3220 MING AVE Bakersfield, CA 93304 OWNER NAME Mina Business INC OPERATOR NAME PERMIT TO OPERATE # DINESH SHARDA # OF TANKS TO BE TESTED:23 IS PIPING GOING TO BE TESTED? © YES 11 NO T A N K # VOLUME CONTENTS 20, 000 87 2 1 0, 000 87 3 12,000 91 TANK TESTING COMPANY TESTING COMPANY NAME & PHONE # OF CONTACT PERSON Advanced Compliance Leann Hamilton 661-808-5323 MAILING ADDRESS 4007 Brae Burn Dr Bakersfield Ca NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR CERTIFICATION # Bruce Hinsley A25212 TEST METHOD ICC # PEI RP1200-17 8032698 APPLICANT SIGNATURE DATE 4 ZF,-za THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 09/20)