HomeMy WebLinkAboutFMC Application 8-17-21UNDERGROUND 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
® FUEL MONITORING CERTIFICATION
SITE INFORMATION
BAKERSFIELD FIRE DEPARTMENT
Prevention Services
2101 H Street
Bakersfield, CA 93301
Phone: 661-326-3979 9 Fax: 661-852-2171
Page 1 of 1
❑ SB -989 SECONDARY CONTAINMENT
❑ OVERFILL PREVENTION
FACILITY NAME & PHONE # OF CONTACT PERSON
TS Gas Inc HARJEET SANDHU 832`j{ 447-0767
E Y
S
ADDRESS
i
900 Monterey Bakersfield, CA 93305
OWNER NAME
4 HARJEET SANDHU
OPERATORNAME�_..._..�..�..._...__...__...._._._____......._._...�__._....__.__._...__._....�...
HARJEET SANDHU
�,...__._..._.... .�.....,_.._ __ .._..
PERMii TO OPERATE#__.....�...�__._.....�.._.._....,�.......__._._..._.._....�.._____�....�....�__.__...._.._._.._.________..._.___.___.__....__
�
_
�# OF TANKS TO BE TESTED; 2
_.... IS PIPING GOING TO BE TESTED? _.....__.._ �.._ � � YES
❑ NO ...___
T A N K #
VOLUME
CONTENTS
2
12,000
87
3
12,000
91
1
12,000
87
f
a
TANK TESTING COMPANY
TESTING COMPANY
Advanced Compliance
NAME & PHONE # OF CONTACT PERSON
Leann Hamilton 681-808-5323
E
MAILING ADDRESS
4007 Brae Burn Dr Bakersfield Ca
E
NAME & PHONE # OF TESTER OR SPECIAL INSPECTOR
Bruce Hinsley
CERTIFICATION #
A25212
TEST METHOD
PEI RP1200-17
ICC #
8032698
APPLICANT SIGNA RE
4.
DATE
17/29/2021
THIS APPLICATION
BECOMES A PERMIT WHEN APPROVED
a
APPROVED BY
DATE
FD2095 (Rev 09/20)