HomeMy WebLinkAboutFMC Application 7-23-21UNDERGROUND 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 #
El ENHANCED LEAK DETECTION
0 TANK TIGHTNESS
1:1 LINE TESTING
nu FUEL MONITORING CERTIFICATION
SITE INFORMATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 * Fax: 661-852-2171
Page 1 of 1
11 SB -989 SECONDARY CONTAINMENT
171 OVERFILL PREVENTION
FACILITY NAME & PHONE # OF CONTACT PERSON
,Arco AMPM (White Ln) Sukhjinder S Pandher (206) 883-0016
ADDRESS
6450 WHITE LN Bakersfield, CA 93309
OWNER NAME
.qiikhiindP-r.q Pqnrihp-r
OPERATOR NAME PERMIT TO OPERATE #
Sukhjinder S Pandher
# OF TANKS TO BE TESTED:.3 IS PIPING GOING TO BE TESTED? 19 YES
3
El NO
T A N K #
VOLUME
C 0 N T E N T S
1
12 7000
87
2
127 000
87
3
12,000
91
TANK TESTING COMPANY
TESTING COMPANY
Advanced Compliance
NAME & PHONE # OF CONTACT PERSON
Leann Hamilton 661-808-5323
MAILING 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 SIGNATURE
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)