HomeMy WebLinkAboutFMC Application 7-29-21UNDERGROUND 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
O 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
❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
FACILITY
NAME & PHONE # OF CONTACT PERSON
MING CHEVRON
Tim Sullivan, Jr. 661 327-5008
ADDRESS
16601 MING AVE Bakersfield, CA 93309
OWNER NAME
Sullivan Petroleum Company
OPERATOR NAME
PERMIT TO OPERATE #
Tim Sullivan, Jr.
# OF TANKS TO BE TESTED: 2
IS PIPING GOING TO BE TESTED? ® YES ❑ NO
T A N K #
VOLUME
CONTENTS
1
12,000
91
2
121000
Diesel
3
12)000
87
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 SIG RE
DATE
THIS APPLICATION BECOMES A PERMIT WHEN APPROVED
APPROVED BY
DATE
FD2095 (Rev 09/20)