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HomeMy WebLinkAboutSB989 Application 7-16-21UNDERGROUND 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 # BAKERSFIELD FIRE DEPARTMENT Prevention Services 2101 H Street Bakersfield, CA 93301 Phone: 661-326-3979 * Fax: 661-852-2171 Page 1 of 1 El ENHANCED LEAK DETECTION El LINE TESTING SB -989 SECONDARY CONTAINMENT El TANK TIGHTNESS ❑ FUEL MONITORING CERTIFICATION ❑ OVERFILL PREVENTION SITE INFORMATION [ FACILITY NAME & PHONE # OF CONTACT PERSON Gasko Ranbir bhafti (661) 323-3025 ADDRESS 14m Fast California Ave R;;kp-rq-flp-lci- CA 93306 OWNER NAME Sukhiinder Gill OPERATOR NAME Sukhjinder Gill PERMIT TO OPERATE # # OF TANKS TO BE TESTED: ---- 2 IS PIPING GOING TO BE TESTED? JR YES 11 NO T A N K # VOLUME CONTENTS 1 201000 87 2 107000 91 APPLICANT SIGN RE DATE M4 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 09/20) iii 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 Bruce Hinsley CERTIFICATION # A25212 ---------- TEST METHOD icc # PEI RP1200-17 8032698 APPLICANT SIGN RE DATE M4 THIS APPLICATION BECOMES A PERMIT WHEN APPROVED APPROVED BY DATE FD2095 (Rev 09/20)