HomeMy WebLinkAboutFMC Application 6-25-21UNDERGROUND 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
1:1 LINE TESTING
FMI FUEL MONITORING CERTIFICATION
SITE INFORMATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield., CA 93301
Phone: 661-326-3979 e Fax: 661-852-2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
FACILITY NAME & PHONE # OF CONTACT PERSON
WILSON MOBIL INC Gurmej Singh (661) 431-5090
ADDRESS
3620 WILSON RD Bakersfield, CA 93309
OWNER NAME
Gurmei Sinqh
OPERATOR NAME
Gurmej Singh
PERMIT TO OPERATE # ----- ---- -
# OF TANKS TO BE TESTED:
IS PIPING GOING TO VBE~TESTED? ®-YES 11 NO
T A N K #
VOLUME
CONTENTS
CERTIFICATION #
157 000
87
2
107 000
91
3
5 7000
Diesel
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)
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
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)